Organization Active NPI

Eye Health Services, Inc

  • Ophthalmology Physician
  • Pembroke, MA
National Provider Identifier
1093726770
Registry record updated Oct 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
EYE HEALTH SERVICES, INC
Doing business as
Eye Health Services, Inc.
Practice address
146 Church St
Pembroke, MA 02359-1950
Phone
(781) 826-2308
Fax
(781) 826-6759
NPI assigned
Aug 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2018

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

Authorized official

Name
Paul J Wasson, MD
Title
Clerk
Phone
(781) 331-3300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

146 Church St
Pembroke, MA 02359-1950

Mailing address

1900 Crown Colony Drive
Suite 301
Quincy, MA 02169-0000
Phone (617) 770-4400

Other practice location 1

1900 Crown Colony Drive
Suite 301
Quincy, MA 02169-0000
Phone (617) 770-4400

Other identifiers 3

IdentifierTypeStateIssuer
600020OtherMATUFTS HEALTH PLAN
449459OtherMAAETNA
9711317MedicaidMA

Other names 1

  • Eye Health Services, Inc. Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540512000000",
    "number": "1093726770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 CROWN COLONY DRIVE",
            "address_2": "SUITE 301",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021690000",
            "telephone_number": "617-770-4400",
            "fax_number": "617-471-5093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "146 CHURCH ST",
            "city": "PEMBROKE",
            "state": "MA",
            "postal_code": "023591950",
            "telephone_number": "781-826-2308",
            "fax_number": "781-826-6759"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1900 Crown Colony Drive",
            "address_2": "Suite 301",
            "address_purpose": "LOCATION",
            "city": "Quincy",
            "state": "MA",
            "postal_code": "021690000",
            "country_code": "US",
            "telephone_number": "617-770-4400",
            "fax_number": "617-471-5093",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EYE HEALTH SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2018-10-26",
        "status": "A",
        "authorized_official_last_name": "WASSON",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CLERK",
        "authorized_official_telephone_number": "781-331-3300",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN",
            "identifier": "600020",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "449459",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9711317",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eye Health Services, Inc.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Eye Health Services, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pembroke, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2018; 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.