Organization Active NPI

Dedham Ophthalmic Consultants and Surgeons, P.C.

  • Durable Medical Equipment & Medical Supplies
  • Dedham, MA
National Provider Identifier
1003247255
Registry record updated Dec 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
DEDHAM OPHTHALMIC CONSULTANTS AND SURGEONS, P.C.
Practice address
980 Washington St
Suite120
Dedham, MA 02026-6731
Phone
(781) 251-2222
Fax
(781) 234-0279
NPI assigned
Dec 12, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Andrew J Gillies, M.D.
Title
President
Phone
(781) 251-2222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X MA Primary

Addresses

Primary practice location

980 Washington St
Suite120
Dedham, MA 02026-6731

Mailing address

980 Washington St
Suite120
Dedham, MA 02026-6731
Phone (781) 251-2222

Other identifiers 1

IdentifierTypeStateIssuer
6070110001OtherMAMEDICARE PTAN

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1386806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386806400000",
    "number": "1003247255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "980 WASHINGTON ST",
            "address_2": "SUITE120",
            "city": "DEDHAM",
            "state": "MA",
            "postal_code": "020266731",
            "telephone_number": "781-251-2222",
            "fax_number": "781-234-0279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "980 WASHINGTON ST",
            "address_2": "SUITE120",
            "city": "DEDHAM",
            "state": "MA",
            "postal_code": "020266731",
            "telephone_number": "781-251-2222",
            "fax_number": "781-234-0279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEDHAM OPHTHALMIC CONSULTANTS AND SURGEONS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-12",
        "last_updated": "2013-12-12",
        "status": "A",
        "authorized_official_last_name": "GILLIES",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "781-251-2222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "6070110001",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dedham, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.