DR. LOUIS AGUIAR O.D. NPI 1831191923

Optometrist in Fall River, MA

NPI 1831191923 Individual Male Years of Experience 47 Optometrist PECOS Enrolled Accepts Medicare Approved Payment Medicare Quality Reporting

About LOUIS AGUIAR

Louis Aguiar is a provider established in Fall River, Massachusetts and his medical specialization is optometrist with more than 47 years of experience. He graduated from New England College Of Optometry in 1975. The NPI number of Louis Aguiar is 1831191923 and was assigned on June 2005. The practitioner's primary taxonomy code is 152W00000X with license number 2537 (MA). The provider is registered as an individual and his NPI record was last updated 13 years ago.

Louis Aguiar is enrolled in PECOS and is eligible to order or refer healthcare 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)

Louis Aguiar is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

The provider participated in Medicare's Quality Payment Program and the following quality measures were reported: diabetes: eye exam. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries.

NPI

1831191923

Provider NameDR. LOUIS AGUIAR O.D.
Provider Location Address289 PLEASANT ST STE 201 FALL RIVER, MA 02721
Provider Mailing Address289 PLEASANT ST STE 201 FALL RIVER, MA 02721
GenderMale
NPI Entity TypeIndividual
Medical School NameNEW ENGLAND COLLEGE OF OPTOMETRY
Graduation Year1975
Is Sole Proprietor?Yes
Is Organization Subpart?N/A
Enumeration Date06-02-2005
Last Update Date04-02-2008


Primary Taxonomy

Taxonomy Code152W00000X
ClassificationOptometrist
TypeEye and Vision Services Providers
License No.2537
License StateMA
Taxonomy DescriptionDoctors 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.

Business Address

DR. LOUIS AGUIAR O.D.
289 PLEASANT ST
STE 201
FALL RIVER, MA
ZIP 02721
Phone: (508) 678-2718
Fax: (508) 646-0333

Get Directions


Mailing Address

DR. LOUIS AGUIAR O.D.
289 PLEASANT ST
STE 201
FALL RIVER, MA
ZIP 02721
Phone: (508) 678-2718
Fax: (508) 646-0333



Medicare Participation

Registered in PECOS? Yes What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
PECOS PAC ID2163325374
PECOS Enrollment IDI20040127000735
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 order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesNo

Clinician Utilization

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.

  • 223Eye and medical examination for diagnosis and treatment, established patient, 1 or more visits (HCPCS:92014)
  • 81Eye and medical examination for diagnosis and treatment, new patient, 1 or more visits (HCPCS:92004)
  • 42Eye and medical examination for diagnosis and treatment, established patient (HCPCS:92012)

Quality Reporting

The following quality measures meets Medicare's statistical reporting standards for the year 2018. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.

Quality Measure Performance Rate Number of Patients
Diabetes: Eye Exam 100% 132
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
T59205MEDICARE UPIN (02)MA
147958MEDICARE PIN (08)

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1457355729 RAVI CHANDER M.D.
Individual
Internal Medicine (Cardiovascular Disease)289 PLEASANT ST STE 301
FALL RIVER, MA 02721
(508) 679-9995
1083618359DR. WILLIAM ROBERT COUREY M.D.
Individual
Radiology (Diagnostic Radiology)289 PLEASANT ST STE 101
FALL RIVER, MA 02721
(508) 674-0600
1760486047DR. GLENN DUBLER M.D.
Individual
Orthopaedic Surgery289 PLEASANT ST STE 202
FALL RIVER, MA 02721
(508) 678-2503
1649272717DR. MURRAY DIMANT M.D.
Individual
Radiology (Diagnostic Radiology)289 PLEASANT ST STE 101
FALL RIVER, MA 02721
(508) 674-0600
1821092107DR. FARES GENNAOUI M.D.
Individual
Radiology (Nuclear Radiology)289 PLEASANT ST STE 101
FALL RIVER, MA 02721
(508) 674-0600
1891799748DR. RAJARATNAM ABRAHAM M.D.
Individual
Internal Medicine289 PLEASANT ST STE 401
FALL RIVER, MA 02721
(508) 679-5888
1447255880 TAMIM HINEDI M.D.
Individual
Internal Medicine (Infectious Disease)289 PLEASANT ST
FALL RIVER, MA 02721
(508) 646-7730
1235134677 ZIA KIDWAI M.D.
Individual
Internal Medicine (Cardiovascular Disease)289 PLEASANT ST STE 301
FALL RIVER, MA 02721
(508) 679-9955
1912904988 MANUELA MENDES M.D.
Individual
Family Medicine289 PLEASANT ST SUITE 203
FALL RIVER, MA 02721
(508) 679-1033
1376540443 DAVID MADDOCK M.D.
Individual
Internal Medicine (Gastroenterology)289 PLEASANT ST SUITE 501
FALL RIVER, MA 02721
(508) 679-6611
1346248531 MAJED MOUDED M.D.
Individual
Internal Medicine (Endocrinology, Diabetes & Metabolism)289 PLEASANT ST
FALL RIVER, MA 02721
(508) 646-7730
1851399034 HANY MISTIKAWY M.D.
Individual
Internal Medicine289 PLEASANT ST SUITE 404
FALL RIVER, MA 02721
(508) 679-2265
1881692952 BASSEM NASSER M.D.
Individual
Internal Medicine (Cardiovascular Disease)289 PLEASANT ST SUITE 301
FALL RIVER, MA 02721
(508) 679-9955
1881688232 FREDERICK SCHNURE M.D.
Individual
Internal Medicine (Gastroenterology)289 PLEASANT ST
FALL RIVER, MA 02721
(508) 679-6611
1043204407 RAJU SINGLA M.D.
Individual
Internal Medicine289 PLEASANT ST
FALL RIVER, MA 02721
(508) 646-7730
1497749725 DONALD SUTHERLAND D.O.
Individual
Internal Medicine (Gastroenterology)289 PLEASANT ST SUITE 501
FALL RIVER, MA 02721
(508) 679-6611
1679567903 JEREMY WORTHINGTON M.D.
Individual
Psychiatry & Neurology (Neurology)289 PLEASANT ST SUITE 403
FALL RIVER, MA 02721
(508) 674-1500
1154315471 KAREN SUSSKIND M.D.
Individual
Internal Medicine (Gastroenterology)289 PLEASANT ST SUITE 501
FALL RIVER, MA 02721
(508) 679-6611
1023002052 STEPHEN ZUEHLKE M.D.
Individual
Internal Medicine (Cardiovascular Disease)289 PLEASANT ST SUITE 301
FALL RIVER, MA 02721
(508) 679-9955
1437145968 EUGENE ZAK M.D.
Individual
Internal Medicine289 PLEASANT ST SUITE 402
FALL RIVER, MA 02721
(508) 679-1906

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.