Individual provider Active NPI

Arnold Steven Zide, O.D.

  • Corneal and Contact Management Optometrist
  • Boston, MA
National Provider Identifier
1043205834
Registry record updated Apr 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corneal and Contact Management OptometristTaxonomy code 152WC0802X
License
2670 TP Issued in MA
Practice address
160 Federal Street Suite C1C
Vision Care 2000
Boston, MA 02110
Phone
(614) 542-2015
Fax
(617) 542-2021
NPI assigned
Sep 16, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 7, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management Optometrist 152WC0802X 2670 TP MA Primary
Sports Vision Optometrist 152WS0006X 2670 TP MA

Addresses

Primary practice location

160 Federal Street Suite C1C
Vision Care 2000
Boston, MA 02110

Mailing address

134 Middle Rd
Southborough, MA 01772-1035
Phone (508) 801-3597

Other identifiers 1

IdentifierTypeStateIssuer
0334286MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2670 TPMAMDCorneal and Contact Management Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Leominster Family Eyecare PLLC Past Accepting new patients
Vision Care Boston Inc Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: azide710597@direct.ochin.org

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1126828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396828800000",
    "number": "1043205834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 MIDDLE RD",
            "city": "SOUTHBOROUGH",
            "state": "MA",
            "postal_code": "017721035",
            "telephone_number": "508-801-3597",
            "fax_number": "617-542-2021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 FEDERAL STREET SUITE C1C",
            "address_2": "VISION CARE 2000",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02110",
            "telephone_number": "614-542-2015",
            "fax_number": "617-542-2021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIDE",
        "first_name": "ARNOLD",
        "middle_name": "STEVEN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-16",
        "last_updated": "2014-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "MA",
            "license": "2670 TP",
            "primary": true
        },
        {
            "code": "152WS0006X",
            "taxonomy_group": "",
            "desc": "Optometrist, Sports Vision",
            "state": "MA",
            "license": "2670 TP",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0334286",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2014; 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.