THOMAS ANDREA
NPI 1669881041
Optometrist in Brockton, MA
NPI Status: Active since August 11, 2014
Contact Information
940 BELMONT ST
VA BROCKTON EYE CLINIC
BROCKTON, MA
ZIP 02301
Phone: (508) 583-4500
- Individual
- Male
- Years of Experience 12
- Optometrist
- Accepts Insurance
- Accepts Medicare Approved Payment
- PECOS Enrolled
About THOMAS ANDREA
This page provides the complete NPI Profile along with additional information for Thomas Andrea, a provider established in Brockton, Massachusetts with a medical specialization in Optometrist and more than 12 years of experience. The healthcare provider is registered in the NPI registry with number 1669881041 assigned on August 2014. The practitioner's primary taxonomy code is 152W00000X with license number 5045 (MA). The provider is registered as an individual and his NPI record was last updated 10 years ago.
- NPI
- 1669881041
- Provider Name
- THOMAS ANDREA
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 940 BELMONT ST VA BROCKTON EYE CLINIC BROCKTON, MA 02301
- Location Phone
- (508) 583-4500
- Mailing Address
- 26 LENGLEN RD NEWTON, MA 02458
- Medical School Name
- OTHER
- Graduation Year
- 2014
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 08-11-2014
- Last Update Date
- 01-04-2016
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Optometrist
- Taxonomy Code
- 152W00000X
- Type
- Eye and Vision Services Providers
- License No.
- 5045
- License State
- MA
- Taxonomy Description
- Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Anthem Bronze Access Blue New England HMO 5000/10%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 5000/20%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 6500/30%/9200 Value - HMO
- Anthem Bronze Access Blue New England HMO 7000/50%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 8500/50%/9200 - HMO
- Anthem Bronze Pathway X HMO 5000/10%/8000 w/HSA - HMO
- Anthem Bronze Pathway X HMO 5000/20%/8000 w/HSA - HMO
- Anthem Bronze Pathway X HMO 6500/30%/9200 Value - HMO
- Anthem Bronze Pathway X HMO 7000/50%/8000 w/HSA - HMO
- Anthem Bronze Pathway X HMO 8500/50%/9200 - HMO
- Blue Choice Preferred Bronze PPO? 201 - PPO
- Blue Choice Preferred Bronze PPO? 701 - PPO
- Blue Choice Preferred Bronze PPO? Standard - Select Rx Copays - PPO
- Blue Choice Preferred Gold PPO? 204 - PPO
- Blue Choice Preferred Gold PPO? Standard - Rx Copays - PPO
- Blue Choice Preferred Security PPO? 200 - PPO
- Blue Choice Preferred Silver PPO? 203 - PPO
- Blue Choice Preferred Silver PPO? 801 - PPO
- Blue Choice Preferred Silver PPO? Standard - Select Rx Copays - PPO
- Blue Precision Bronze HMO? 205 - HMO
- Blue Max 70/50 $6700 - PPO
- Blue Max 90/70 $1500 - PPO
- Blue Max Copay (PCP, Specialist, Urgent Care) 50/50 $3300 - PPO
- Blue Max Copay (PCP, Specialist, Urgent Care) 50/50 $7500 Standardized Plan - PPO
- Blue Max Copay (PCP, Specialist, Urgent Care) 60/40 $5000 Standardized Plan - PPO
- Blue Max Copay (PCP, Specialist, Urgent Care) 75/55 $1500 Standardized Plan - PPO
- Blue Saver 60/40 $6100 - PPO
- Blue Saver 90/70 $3200 - PPO
- Blue Focus Bronze POS? 205 - POS
- Blue Focus Bronze POS? 705 - POS
- Blue Focus Bronze POS? Standard - POS
- Blue Focus Gold POS? 207 - POS
- Blue Focus Gold POS? Standard - POS
- Blue Focus Silver POS? 206 - POS
- Blue Focus Silver POS? Standard - POS
- Blue Preferred Bronze PPO? 201 - PPO
- Blue Preferred Bronze PPO? 202 - PPO
- Blue Preferred Bronze PPO? Standard - PPO
- Blue Advantage Bronze PPO? 202 - PPO
- Blue Advantage Bronze PPO? 203 - PPO
- Blue Advantage Bronze PPO? Standard - PPO
- Blue Advantage Gold PPO? 309 - PPO
- Blue Advantage Gold PPO? 604 - PPO
- Blue Advantage Gold PPO? Standard - PPO
- Blue Advantage Silver PPO? 204 - PPO
- Blue Advantage Silver PPO? 501 - PPO
- Blue Advantage Silver PPO? Standard - PPO
- Blue Preferred Bronze PPO? Standard - PPO
- Blue Advantage Bronze HMO? 204 - HMO
- Blue Advantage Bronze HMO? 301 - HMO
- Blue Advantage Bronze HMO? Standard - HMO
- Blue Advantage Gold HMO? 206 - HMO
- Blue Advantage Gold HMO? 603 - HMO
- Blue Advantage Gold HMO? Standard - HMO
- Blue Advantage Plus Bronze? 303 - POS
- Blue Advantage Plus Bronze? 305 - POS
- Blue Advantage Plus Bronze? Standard - POS
- Blue Advantage Plus Gold? 203 - POS
- BlueSelect Bronze Basic - PPO
- BlueSelect Bronze Core - PPO
- BlueSelect Expanded Bronze Standard without Kid's Dental - PPO
- BlueSelect Gold Core - PPO
- BlueSelect Gold HealthPlus - PPO
- BlueSelect Gold Standard without Kid's Dental - PPO
- BlueSelect Silver Classic - PPO
- BlueSelect Silver Classic without Kid's Dental - PPO
- BlueSelect Silver HealthPlus - PPO
- BlueSelect Silver HealthPlus without Kid's Dental - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Thomas Andrea is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Thomas Andrea is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME) and a Home Health Agency (HHA).
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 8921315714
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20150910002015
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: No
Physician Visit Costs
The typical physician office visit costs for Medicare beneficiaries in this area are: $33.61 for a new patient copayment and $18.3 for an established patient copayment.
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 02301 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $134.47
- Minimum New Patient Price $58.86
- Maximum New Patient Price $177.36
- Average New Patient Copayment $33.61
- Minimum New Patient Copayment $14.71
- Maximum New Patient Copayment $44.34
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $73.22
- Minimum Established Patient Price $19.11
- Maximum Established Patient Price $144.84
- Average Established Patient Copayment $18.3
- Minimum Established Patient Copayment $4.77
- Maximum Established Patient Copayment $36.21
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 6 | 6 | 9 | 8 | 8 | 1 | 0 | 4 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 12 | 9 | 16 | 8 | 2 | 0 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 1 + 2 + 9 + 1 + 6 + 8 + 2 + 0 + 8 + 24 = 69 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 69 = 1 | 1 | ||||||||
The NPI number 1669881041 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1760441166 | CHERI LEONARD PA-C Individual | Physician Assistant (Medical) | 940 BELMONT ST DEPARTMENT 127 BROCKTON, MA 02301 (774) 826-2176 |
| 1356301329 | MR. DENNI J. WOODMANSEE PA-C Individual | Physician Assistant | 940 BELMONT ST BROCKTON, MA 02301 (774) 826-2035 |
| 1700841764 | MS. NANCY ELIZABETH GENDREAU NP Individual | Nurse Practitioner (Gerontology) | 940 BELMONT ST BROCKTON, MA 02301 (508) 583-4500 |
| 1174572721 | DR. JOHN C BRADLEY M.D. Individual | Psychiatry & Neurology (Psychiatry) | 940 BELMONT ST BROCKTON, MA 02301 (617) 981-2109 |
| 1720031651 | MARYLOU GREGORY-LEE NP Individual | Nurse Practitioner | 940 BELMONT ST BROCKTON, MA 02301 (774) 826-2769 |
| 1083669972 | MS. EILEEN NANCY WILMARTH-GUERETTE RN Individual | Nurse Practitioner (Primary Care) | 940 BELMONT ST BROCKTON, MA 02301 (508) 583-4500 |
| 1386682961 | MS. ELLEN ELIZABETH ENDRES RNP Individual | Nurse Practitioner (Adult Health) | 940 BELMONT ST PRIMARY CARE CLINIC (11A) BROCKTON, MA 02301 (508) 583-4500 |
| 1013944388 | MRS. TRUDY ROSE RADVILLE OTR/L Individual | Occupational Therapist | 940 BELMONT ST BROCKTON, MA 02301 (508) 583-4500 |
| 1316978653 | JANICE MAKARCHUK Individual | Dietitian, Registered | 940 BELMONT ST BROCKTON, MA 02301 (774) 826-1439 |
| 1366475428 | MRS. CAROLYN MARGRETTA SHAKUR PT Individual | Physical Therapist | 940 BELMONT ST BROCKTON, MA 02301 (508) 583-4500 |
| 1801816459 | MRS. CATHERINE F. CAHILL RD Individual | Dietitian, Registered | 940 BELMONT ST NUTRITION & FOOD SERVICE (120) BROCKTON, MA 02301 (774) 826-1910 |
| 1386664043 | MRS. PATRICIA MARIE COLLINS RD, CDE Individual | Dietitian, Registered (Nutrition, Metabolic) | 940 BELMONT ST BROCKTON, MA 02301 (774) 826-4000 |
| 1972523074 | MR. DAVID FRANK MARSZALEK OTR/L Individual | Occupational Therapist | 940 BELMONT ST BROCKTON VAMC-BLDG 4, ROOM A204 BROCKTON, MA 02301 (508) 583-4500 |
| 1366458424 | MS. ANNMARIE FREDERICKS N.P. Individual | Nurse Practitioner (Adult Health) | 940 BELMONT ST BROCKTON, MA 02301 (774) 826-2889 |
| 1790795003 | DR. LOUISE BONNIE GRAHAM PH.D. Individual | Psychologist (Counseling) | 940 BELMONT ST BROCKTON, MA 02301 (508) 583-4500 |
| 1386655108 | DR. KYUNG H LEE M.D Individual | Psychiatry & Neurology (Child & Adolescent Psychiatry) | 940 BELMONT ST BROCKTON, MA 02301 (774) 826-2588 |
| 1336252956 | DR. KEVIN C TOOLIN O.D Individual | Optometrist | 940 BELMONT ST VA BROCKTON EYE CLINIC BROCKTON, MA 02301 (508) 583-4500 |
| 1922111442 | DR. JAMES DOUGLASS BROOKS O.D. Individual | Optometrist | 940 BELMONT ST BROCKTON, MA 02301 (774) 826-1106 |
| 1285748558 | SUSAN K. SINK MSW,LICSW Individual | Social Worker (Clinical) | 940 BELMONT ST BROCKTON, MA 02301 (508) 583-4500 |
| 1174637086 | MR. CARL ANTHONY AVENI MSW LICSW Individual | Social Worker (Clinical) | 940 BELMONT ST WARD 2-3-C BROCKTON, MA 02301 (774) 826-1347 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1669881041, enumerated in the NPI registry as an "individual" on August 11, 2014
The provider is located at 940 Belmont St Va Brockton Eye Clinic Brockton, Ma 02301 and the phone number is (508) 583-4500
The provider's speciality is Optometrist with taxonomy code 152W00000X
The provider has more than 12 years of experience.
The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Blue Cross and. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME) and a Home Health Agency (HHA).
Medicare beneficiaries should expect a typical cost of $134.47 with an average copayment of $33.61 for new patient appointments. Established patients should expect a typical charge of $73.22 and an average copayment of 18.3. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on August 11, 2014. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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