NPIMap

Organization Active NPI

New England Vision Inc

  • Optician
  • Saugus, MA
National Provider Identifier
1023167277
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
4717 Issued in MA
Legal business name
NEW ENGLAND VISION INC
Practice address
739 Broadway
Route 1 South
Saugus, MA 01906-3207
Phone
(781) 231-1097
Fax
(781) 231-1099
NPI assigned
Jan 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Carmine M Mazzarella
Title
Optician Owner
Phone
(781) 231-1097

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OpticianGroup: 193400000X SINGLE SPECIALTY GROUP 156FX1800X 4717 MA Primary

Addresses

Primary practice location

739 Broadway
Route 1 South
Saugus, MA 01906-3207

Mailing address

739 Broadway
Route 1 South
Saugus, MA 01906-3207
Phone (781) 231-1097

Other identifiers 2

IdentifierTypeStateIssuer
102591OtherMAEYEMED PROVIDER NUMBER
18288OtherMADAVIS PROVIDER NUMBER

Other names 1

  • PEARLE VISION Doing business as

National Provider Directory

National Provider Directory

Locations

739 Broadway
#1S
Saugus, MA 01906
Phone (781) 231-1097

739 Broadway
Saugus, MA 01906
Phone (781) 231-1097

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": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1023167277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "739 BROADWAY",
            "address_2": "ROUTE 1 SOUTH",
            "city": "SAUGUS",
            "state": "MA",
            "postal_code": "019063207",
            "telephone_number": "781-231-1097",
            "fax_number": "781-231-1099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "739 BROADWAY",
            "address_2": "ROUTE 1 SOUTH",
            "city": "SAUGUS",
            "state": "MA",
            "postal_code": "019063207",
            "telephone_number": "781-231-1097",
            "fax_number": "781-231-1099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW ENGLAND VISION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MAZZARELLA",
        "authorized_official_first_name": "CARMINE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OPTICIAN OWNER",
        "authorized_official_telephone_number": "781-231-1097",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "MA",
            "license": "4717",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED PROVIDER NUMBER",
            "identifier": "102591",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAVIS PROVIDER NUMBER",
            "identifier": "18288",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PEARLE VISION",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saugus, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.