Active NPI
Dedham Ophthalmic Consultants and Surgeons, P.C.
- Durable Medical Equipment & Medical Supplies
- Dedham, MA
National Provider Identifier
1003247255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6070110001 | Other | MA | MEDICARE PTAN |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Ophthalmology Physician
- Dedham, MA
- NPI 1770589301
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.