Webster Square Vision Inc

Primary specialty

OpticianTaxonomy code 156FX1800X

Legal business name

WEBSTER SQUARE VISION INC

Practice address

120 Stafford St # S
Worcester, MA 01603-1457

Phone

(508) 754-3121

NPI assigned

Jul 23, 2024

Organization subpart

No

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

Authorized official

Name

Daniel Velazquez

Title

Ceo

Phone

(508) 340-8136

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ferdinand Velazquez, O.D.

  • Optometrist
  • North Oxford, MA
  • NPI 1275551863
  Medicare reassignment NPD

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

{
    "created_epoch": "1721692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721692800000",
    "number": "1073341848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 MORELAND GREEN DR",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016091076",
            "telephone_number": "508-340-8136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 STAFFORD ST # S",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016031457",
            "telephone_number": "508-754-3121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEBSTER SQUARE VISION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-23",
        "last_updated": "2024-07-23",
        "certification_date": "2024-07-23",
        "status": "A",
        "authorized_official_last_name": "VELAZQUEZ",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "508-340-8136"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Weber
• Webster Light LLC
• Webster Light LLC
• Webster Square Dental
• Webster Square Medical Center, Inc
• Valerie Ann Wedge, LICSW
• Shelly L. Weedon, PA-C
• Melissa Weeks, FNP-C
• Maresa Black Weems, RD
• Kathryn Marie Weenig

• Optician in Worcester, MA
• Providers in Worcester, MA by specialty
• Optician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2024; 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.