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CAROLINE COUTU OD
NPI 1578328514
Optometrist in Fall River, MA

Active since February 19, 2024PECOS EnrolledAccepts Medicare Assignment
1565 N MAIN ST STE 406, FALL RIVER, MA 02720(508) 730-2020 Get Directions Write a Review

NPPES record last updated: January 5, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 5, 2026, Jul 29, 2024, Jun 24, 2024 (3 updates tracked since 2024).

About Caroline Coutu Od NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CAROLINE COUTU OD (NPI 1578328514) is an individual optometrist in Fall River, Massachusetts, licensed in Massachusetts (OPT5706) and active in the NPI registry since February 2024. She is enrolled in Medicare PECOS and is a graduate of University Of Massachusetts Medical School (2024).

NPPES Registry Identity

NPI1578328514
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameCAROLINE COUTUCredential: OD
Location Address1565 N MAIN ST STE 406Fall River, MA 02720-2972
Mailing Address59 Homewood AveNorth Providence, RI 02911-3229 · (401) 578-4716
Phone(508) 730-2020
Sole ProprietorYes
Medical School CMSUniversity Of Massachusetts Medical SchoolGraduated 2024
Enumeration DateFebruary 19, 2024
Last NPPES UpdateJanuary 5, 20263 updates tracked since enumeration
NPPES CertifiedJanuary 5, 2026
✔ NPI 1578328514 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in MA · OPT5706
Definition
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.
1565 N MAIN ST STE 406, Fall River, MA 02720
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Caroline Coutu Od is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3870039407
PECOS Enrollment IDI20240719000806
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
225 services225 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
125 services89 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
41 services40 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
34 services29 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
23 services23 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02720 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$134.47 typical visit price
range $58.86 – $177.36
Typical copayment $33.61 (range $14.71 – $44.34)
Most-billed visit code 99204
Established Patient
$73.22 typical visit price
range $19.11 – $144.84
Typical copayment $18.30 (range $4.77 – $36.21)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PHILBROOK S. MASON O.D.
Optometrist
1565 N MAIN ST STE 406
FALL RIVER, MA 02720
Bristol County (508) 730-2020
MONSERRAT ARIAS OD
Optometrist
1565 N MAIN ST STE 406
FALL RIVER, MA 02720
Bristol County (508) 730-2020
EMILY CARDONE OD
Optometrist
1565 N MAIN ST STE 406
FALL RIVER, MA 02720
Bristol County (508) 730-2020

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Caroline Coutu's NPI number?

The NPI number for Caroline Coutu is 1578328514. It was assigned to this individual provider in the NPPES registry on February 19, 2024.

Where is Caroline Coutu located?

Caroline Coutu practices at 1565 N Main St Ste 406, Fall River, MA 02720. The listed phone number is (508) 730-2020.

What is Caroline Coutu's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Caroline Coutu enrolled in Medicare?

Yes. Caroline Coutu is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Caroline Coutu accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Providence Health Plan list Caroline Coutu as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Caroline Coutu was last updated on January 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.