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DR. JOSEPH M NIRO O.D.
NPI 1922044916
Optometrist in Acton, MA

Active since June 20, 2006PECOS EnrolledAccepts Medicare Assignment
296 GREAT RD, ACTON, MA 01720(978) 263-8521(978) 263-7319 Get Directions Write a Review

NPPES record last updated: May 1, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Joseph M Niro O.d. NPPES

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

DR. JOSEPH M NIRO O.D. (NPI 1922044916) is an individual optometrist in Acton, Massachusetts, licensed in Massachusetts (3185) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of New England College Of Optometry (1984).

NPPES Registry Identity

NPI1922044916
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. JOSEPH M NIROCredential: O.D.
Location Address296 GREAT RDActon, MA 01720-4710
Mailing Address21 Hager LnBoxborough, MA 01719-1827 · (978) 263-8521 · Fax (978) 263-7319
Phone(978) 263-8521
Fax(978) 263-7319
Sole ProprietorNo
Medical School CMSNew England College Of OptometryGraduated 1984
Enumeration DateJune 20, 2006
Last NPPES UpdateMay 1, 2012
✔ NPI 1922044916 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in MA · 3185
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.
Also ListedOptometrist · Corneal and Contact ManagementTaxonomy 152WC0802X · License 3185 (MA)
Also ListedOptometrist · PediatricsTaxonomy 152WP0200X · License 3185 (MA)
Also ListedOptometrist · Sports VisionTaxonomy 152WS0006X · License 3185 (MA)
296 GREAT RD, Acton, MA 01720
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Other Identifiers 15

OtherMA0012217MA · Tricare
Other3137132-001MA · Cigna
Other409201MA · Tufts Health Plan
Other22-00535MA · United Health Care
Other409201MA · Medicare Preferred Tufts
Medicaid0356212MA
Other5330691MA · Aetna
Other1053355MA · Fallon
Other152114MA · Hphc
Other545688MA · First Health
Medicare UPINU35328MA
Medicare ID-Type UnspecifiedN1459558MA
Other237340MA · Healthsource
OtherW15890MA · Bcbs
Other0031070MA · Neighborhood Health

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

Dr. Joseph M Niro 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 ID1658469820
PECOS Enrollment IDI20071123000002
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 2

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.
166 services165 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.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01720 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
$144.11 typical visit price
range $63.72 – $189.86
Typical copayment $36.02 (range $15.93 – $47.46)
Most-billed visit code 99204
Established Patient
$78.84 typical visit price
range $21.07 – $155.29
Typical copayment $19.71 (range $5.26 – $38.82)
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 6

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

DR. MICHELE CASSIN O.D.
Optometrist
296 GREAT RD
ACTON, MA 01720
Middlesex County (978) 263-8521
WESSON & NIRO EYECARE PC
Optometrist
296 GREAT RD
ACTON, MA 01720
Middlesex County (978) 263-8521
KINAN KANBAR D.M.D
Dentist (General Practice)
296 GREAT RD
ACTON, MA 01720
Middlesex County (978) 263-8525
GREAT ROAD DENTAL ASSOCIATES,P.C
Dentist (General Practice)
296 GREAT RD
ACTON, MA 01720
Middlesex County (978) 263-8525
DR. JEFFREY A WESSON O.D.
Optometrist
296 GREAT RD
ACTON, MA 01720
Middlesex County (978) 263-8521
NIRO EYE CARE & ASSOCIATES LLC
Optometrist
296 GREAT RD
ACTON, MA 01720
Middlesex County (978) 263-8521

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 Joseph Niro's NPI number?

The NPI number for Joseph Niro is 1922044916. It was assigned to this individual provider in the NPPES registry on June 20, 2006.

Where is Joseph Niro located?

Joseph Niro practices at 296 Great Rd, Acton, MA 01720. The listed phone number is (978) 263-8521.

What is Joseph Niro's specialty?

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

Is Joseph Niro enrolled in Medicare?

Yes. Joseph Niro 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 Joseph Niro accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 2 other insurers list Joseph Niro 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 Joseph Niro was last updated on May 1, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.