Organization Active NPI

South Shore Eye Associates PC

  • Optometrist
  • North Easton, MA
National Provider Identifier
1083735351
Registry record updated Aug 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2384 Issued in MA
Legal business name
SOUTH SHORE EYE ASSOCIATES PC
Practice address
670 Depot St
North Easton, MA 02356-2742
Phone
(508) 238-8460
Fax
(508) 238-8468
NPI assigned
Apr 3, 2007
Last updated
Aug 13, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2010

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

Authorized official

Name
Dr. James H Freedman, ODNPI 1508970013
Title
President
Phone
(508) 238-8460

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
Optometrist 152W00000X 2384 MA Primary

Addresses

Primary practice location

670 Depot St
North Easton, MA 02356-2742

Mailing address

670 Depot St
PO Box 1100
Easton, MA 02334-9800
Phone (508) 238-8460

Other identifiers 2

IdentifierTypeStateIssuer
W20019OtherMAHMO BLUE
0034244OtherAETNA-U S HEALTHCARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100414000243 MA Part B Supplier - Clinic/Group Practice 9739215211 Receives reassigned benefits from 2 practitioners
Practice locations: North Easton, MA

National Provider Directory

National Provider Directory

Locations

670 Depot St
Unit 1100
Easton, MA 02334

670 Depot St
North Easton, MA 02356
Phone (508) 238-6460

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": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281657600000",
    "number": "1083735351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "670 DEPOT ST",
            "address_2": "PO BOX 1100",
            "city": "EASTON",
            "state": "MA",
            "postal_code": "023349800",
            "telephone_number": "508-238-8460",
            "fax_number": "508-238-8468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "670 DEPOT ST",
            "city": "NORTH EASTON",
            "state": "MA",
            "postal_code": "023562742",
            "telephone_number": "508-238-8460",
            "fax_number": "508-238-8468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH SHORE EYE ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2010-08-13",
        "status": "A",
        "authorized_official_last_name": "FREEDMAN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "508-238-8460",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "2384",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMO BLUE",
            "identifier": "W20019",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA-U S HEALTHCARE",
            "identifier": "0034244",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Easton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2010; 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.