Organization Active NPI

Ez Eyecare Inc

  • Optometrist
  • Boston, MA
National Provider Identifier
1043451834
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
EZ EYECARE INC
Practice address
1341 Boylston St
Boston, MA 02215-3909
Phone
(508) 661-9532
NPI assigned
Mar 9, 2009
Last updated
Jun 11, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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

Authorized official

Name
Dr. Susan Oshea, ODNPI 1821109703
Title
President
Phone
(508) 661-9532

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
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

1341 Boylston St
Boston, MA 02215-3909

Mailing address

1341 Boylston St
Boston, MA 02215-3909
Phone (508) 661-9532

Other identifiers 1

IdentifierTypeStateIssuer
0710008MedicaidMA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090428000150 MA Part B Supplier - Clinic/Group Practice 1153479365 Receives reassigned benefits from 1 practitioner
Practice locations: Boston, MA; Brookline, MA

National Provider Directory

National Provider Directory

Locations

100 Corporate Dr
Franklin, MA 02038
Phone (508) 553-9377

100 Commercial Rd
Leominster, MA 01453
Phone (508) 661-9532

75 Boston Post Rd
Wayland, MA 01778
Phone (508) 358-5659

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": "1236556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1043451834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1341 BOYLSTON ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022153909",
            "telephone_number": "508-661-9532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1341 BOYLSTON ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022153909",
            "telephone_number": "508-661-9532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EZ EYECARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-09",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "OSHEA",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "508-661-9532",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0710008",
            "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 Jun 11, 2019; 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.