Cannon Family Eyecare LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

CANNON FAMILY EYECARE LLC

Practice address

1819 Centre St
West Roxbury, MA 02132-1945

Phone

(617) 323-0200

NPI assigned

Feb 9, 2007

Last updated

Aug 1, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Cari Cannon, ODNPI 1891802435

Title

Owner

Phone

(617) 323-0200

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Locations

Practitioners 3

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.

• Cari Cannon, O.D.

  • Optometrist
  • West Roxbury, MA
  • NPI 1891802435
  Medicare reassignment NPD Authorized official
• Natalie Elizabeth Schaeffer, OD

  • Optometrist
  • Roslindale, MA
  • NPI 1427505874
  Medicare reassignment NPD
• Patricia Lyn Hazell, O.D.

  • Optometrist
  • Lubbock, TX
  • NPI 1154453199
  NPD (past)

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185926400000",
    "number": "1083755235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1819 CENTRE ST",
            "city": "WEST ROXBURY",
            "state": "MA",
            "postal_code": "021321945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1819 CENTRE ST",
            "city": "WEST ROXBURY",
            "state": "MA",
            "postal_code": "021321945",
            "telephone_number": "617-323-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANNON FAMILY EYECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-09",
        "last_updated": "2007-08-01",
        "status": "A",
        "authorized_official_last_name": "CANNON",
        "authorized_official_first_name": "CARI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-323-0200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "648830",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "W20417",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anthony Calilung, PT
• Gina Camicia
• Peter Campo
• Sara Faith Campopiano, CCC-SLP
• Dina Marie Cannata, PHARM D
• Cari Cannon, O.D.
• Grace Elizabeth Cappuccio, OTR/L
• Carbon Health Medical Group of Florida PA
• Natasha Jillan Cardoza, RRT/NPS
• Daniel Carey, DPT

• Optometrist in West Roxbury, MA
• Providers in West Roxbury, MA by specialty
• Optometrist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2007; 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.