MARC L BRAITHWAITE O.D.
NPI 1780641357
Optometrist in Auburn, MA

Q: What is Marc Braithwaite's NPI number?

The NPI number for Marc Braithwaite is 1780641357. It was assigned to this individual provider in the NPPES registry on April 27, 2006.

Q: What is Marc Braithwaite's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Marc Braithwaite was last updated on March 13, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.

Active since April 27, 2006PECOS EnrolledAccepts Medicare Assignment

385 SOUTHBRIDGE ST, AUBURN, MA 01501(508) 856-9599(508) 832-5951 Get Directions Write a Review

NPPES record last updated: March 13, 2019. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Mar 13, 2019, Sep 26, 2018 (2 updates tracked since 2018).

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About Marc L Braithwaite O.d. NPPES

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

MARC L BRAITHWAITE O.D. (NPI 1780641357) is an individual optometrist in Auburn, Massachusetts, licensed in Massachusetts (4997) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS and is a graduate of Southern California College Of Optometry (1997).

NPPES Registry Identity

NPI1780641357

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameMARC L BRAITHWAITECredential: O.D.

Location Address385 SOUTHBRIDGE STAuburn, MA 01501-2498

Mailing Address5 Neponset St Fl Street12Worcester, MA 01606-2714 · (508) 836-8553 · Fax (508) 832-5951

Phone(508) 856-9599

Fax(508) 832-5951

Sole ProprietorNo

Medical School CMSSouthern California College Of OptometryGraduated 1997

Enumeration DateApril 27, 2006

Last NPPES UpdateMarch 13, 20192 updates tracked since enumeration

✔ NPI 1780641357 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

Licenses✔ Licensed in MA · 4997✔ Licensed in MD · DA1826✔ Licensed in ME · OPT903

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.

385 SOUTHBRIDGE ST, Auburn, MA 01501

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Other Identifiers 2

Medicaid402872400MD

Medicaid433061299ME

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 Louisiana, Blue Cross and Blue Shield of Montana 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

Marc L Braithwaite O.d. 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 ID8921020793

PECOS Enrollment IDI20131125000538

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 10

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.

277 services277 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

201 services199 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

150 services139 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).

133 services115 patients

Exam of visual field with extended testing 92083

An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.

71 services63 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.

54 services54 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01501 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 20

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

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