Bridgewater Goddard Park Medical Associates, Inc Optometry Division
NPI 1316121775ActiveOrganization· Optometrist· Brockton, MA
Optometrist in Brockton, Massachusetts, registered in NPPES in December 2007. The authorized official on file is Kim Hollon, Ceo.
Overview
| NPI | 1316121775 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 20, 2007 |
| Last updated in NPPES | May 23, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | 3009 | MA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Optometrist providers in Brockton
- 1952423915
- 1629027941
- 1679346449
- 1669881041
- 1770848384
- 1417332214
- 1609055334
- 1053489294
- 1922111442
- 1912139031
- 1073999751
- 1649798620