NPIMap

Organization Active NPI

Dedham Ophthalmic Consultants and Surgeons PC

  • Ophthalmology Physician
  • Dedham, MA
National Provider Identifier
1043429954
Registry record updated Jan 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
55237 Issued in MA
Legal business name
DEDHAM OPHTHALMIC CONSULTANTS AND SURGEONS PC
Practice address
980 Washington St
Suite 120
Dedham, MA 02026-6731
Phone
(781) 251-2222
Fax
(781) 234-0279
NPI assigned
May 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2011

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

Authorized official

Name
Andrew J Gillies, M.D., F.A.C.S.NPI 1174520563
Title
President
Phone
(781) 251-2222

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X 3550 MA
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X 55237 MA Primary
Eyewear Supplier 332H00000X MA

Addresses

Primary practice location

980 Washington St
Suite 120
Dedham, MA 02026-6731

Mailing address

980 Washington St
Suite 120
Dedham, MA 02026-6731
Phone (781) 251-2222

Other names 1

  • Gillies & Aswad Eye Care, PC Former legal business name

National Provider Directory

National Provider Directory

Locations

980 Washington St
Ste 120
Dedham, MA 02026
Phone (781) 251-2222

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296432000000",
    "number": "1043429954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "980 WASHINGTON ST",
            "address_2": "SUITE 120",
            "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": "SUITE 120",
            "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 PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2011-01-31",
        "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_credential": "M.D., F.A.C.S."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "MA",
            "license": "3550",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "MA",
            "license": "55237",
            "primary": true
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "MA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gillies & Aswad Eye Care, PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Jan 31, 2011; 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.