Optical Shoppe PC – Optometrist, NPI 1609237940

Optical Shoppe PC is a healthcare provider. based in Foxboro, Massachusetts. specializing in Optometrist. The NPI Number for Optical Shoppe PC is 1609237940

Main info

Organization
Name
Optical Shoppe PC
NPI
1609237940
Phone
(508) 543-4840
Address
25 MECHANIC ST
Authorized Official
MAKENZIE ELLIOTT OD OD
Enumeration Date
15 March 2016
Last Update Date
17 November 2016
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience25
Completeness80
Years active:10State licenses:0Digital endpointsUpdated within 12 months

Provider Addresses for Optical Shoppe PC

  • 25 MECHANIC ST

    FOXBORO, MA 020352011

    Phone: (508) 543-4840

    Fax: (508) 698-1013

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2017-06-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2024-04-30 (771 days ago).

Enrollment records

1

Earliest due date

2024-04-30

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20170630000972OClinic/Group PracticeMA2024-04-30

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 02035)

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Reviews

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Frequently asked questions

How do payers reference Optical Shoppe PC?
For Optical Shoppe PC, use NPI 1609237940 as the unique 10-digit identifier.
Would Optical Shoppe PC appear as active to a payer?
You can treat Optical Shoppe PC as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to Optical Shoppe PC?
Optical Shoppe PC's specialty line reads Optometrist. Clinical services aligned with this taxonomy classification.
What practice footprint exists for Optical Shoppe PC?
Travel planning: use Foxboro, Massachusetts as the reference point for Optical Shoppe PC, then confirm.
Can I trust this NPI listing for Optical Shoppe PC?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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