Active NPI
Eye Health Services, Inc
- Ophthalmology Physician
- Pembroke, MA
National Provider Identifier
1093726770
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 600020 | Other | MA | TUFTS HEALTH PLAN |
| 449459 | Other | MA | AETNA |
| 9711317 | Medicaid | MA |
Other names 1
- Eye Health Services, Inc.
National Provider Directory
National Provider DirectoryNPI 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.