Active NPI
James Aylward, OD
- Optometrist
- Worcester, MA
National Provider Identifier
1093739088
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 3218
- Practice address
- 605 Lincoln St
Worcester, MA 01605-1901 - Phone
- (508) 856-0104
- NPI assigned
- Jul 26, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 3218 | MA | Primary |
| Optometrist | 152W00000X | 1475 | NC |
Addresses
Primary practice location
605 Lincoln St
Worcester, MA 01605-1901
Mailing address
2 Edmund Brigham Way
Westborough, MA 01581-2139
Phone (508) 856-0104
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1475 | NC | MD | Behavioral Analyst |
| 3218 | MA | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1093739088",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 EDMUND BRIGHAM WAY",
"city": "WESTBOROUGH",
"state": "MA",
"postal_code": "015812139",
"telephone_number": "508-856-0104"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "605 LINCOLN ST",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016051901",
"telephone_number": "508-856-0104"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AYLWARD",
"first_name": "JAMES",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MA",
"license": "3218",
"primary": true
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NC",
"license": "1475",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Worcester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.