NPIMap

Organization Active NPI

Tallman Eye Bidco

  • Ophthalmology Physician
  • Lawrence, MA
National Provider Identifier
1033419072
Registry record updated May 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
TALLMAN EYE BIDCO
Doing business as
Tallman Eye BIDCO
Practice address
360 Merrimack St
BLDG 9, Entrance I
Lawrence, MA 01863-1764
Phone
(978) 688-6182
Fax
(978) 689-0731
NPI assigned
Oct 25, 2010
Organization subpart
Yes
Parent organization
TALLMAN EYE ASSOCIATES, PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 13, 2025

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

Authorized official

Name
Cynthia Deangelis, M.D.NPI 1366425639
Title
Partner/Owner
Phone
(978) 688-6182

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

360 Merrimack St
BLDG 9, Entrance I
Lawrence, MA 01863-1764

Mailing address

360 Merrimack St
BLDG 9, Entrance I
Lawrence, MA 01863-1764
Phone (978) 688-6182

Other identifiers 2

IdentifierTypeStateIssuer
9713735MedicaidMA
M12639OtherMAMEDICARE GROUP

Other names 1

  • Tallman Eye BIDCO Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160523001756 MA Part B Supplier - Clinic/Group Practice 7315236866 Receives reassigned benefits from 17 practitioners
Practice locations: Haverhill, MA; Andover, MA; North Andover, MA; Lawrence, MA; Newburyport, MA

National Provider Directory

National Provider Directory
Part of
Tallman Eye Associates

Locations

360 Merrimack St
Ste 9
Lawrence, MA 01843
Phone (978) 552-4000

144 Newburyport Tpke
Rowley, MA 01969
Phone (978) 948-2292

29 Stiles Rd
Ste 301
Salem, NH 03079
Phone (603) 870-5452

29 Stiles Rd
Ste 101
Salem, NH 03079
Phone (603) 893-7400

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 21

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1287964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747094400000",
    "number": "1033419072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 MERRIMACK ST",
            "address_2": "BLDG 9, ENTRANCE I",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "018631764",
            "telephone_number": "978-688-6182",
            "fax_number": "978-689-0731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 MERRIMACK ST",
            "address_2": "BLDG 9, ENTRANCE I",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "018631764",
            "telephone_number": "978-688-6182",
            "fax_number": "978-689-0731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TALLMAN EYE BIDCO",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TALLMAN EYE ASSOCIATES, PC",
        "enumeration_date": "2010-10-25",
        "last_updated": "2025-05-13",
        "certification_date": "2025-05-13",
        "status": "A",
        "authorized_official_last_name": "DEANGELIS",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "PARTNER/OWNER",
        "authorized_official_telephone_number": "978-688-6182",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9713735",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "M12639",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tallman Eye BIDCO",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lawrence, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.