Active NPI
For Eyes Optical of PA
- Eyewear Supplier
- Boston, MA
National Provider Identifier
1093841173
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Eyewear Supplier
- License
- 6126
- Legal business name
- FOR EYES OPTICAL OF PA
- Practice address
- 10 City Hall Ave
Boston, MA 02108-4301 - Phone
- (617) 523-3420
- NPI assigned
- Feb 26, 2007
- Reactivated
- Aug 2, 2013
- 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
- Mr. Philip Wolman
- Title
- Owner
- Phone
- (305) 557-9004
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Eyewear Supplier | 332H00000X | 6126 | MA | Primary |
Addresses
Primary practice location
10 City Hall Ave
Boston, MA 02108-4301
Mailing address
285 W 74TH PL
Hialeah, FL 33014-5058
Other names 1
- For Eyes
National Provider Directory
National Provider DirectoryLocations
10 City Hall Ave
Boston, MA 02108
Phone (617) 523-3639
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172448000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1380585600000",
"number": "1093841173",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "285 W 74TH PL",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330145058"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 CITY HALL AVE",
"city": "BOSTON",
"state": "MA",
"postal_code": "021084301",
"telephone_number": "617-523-3420"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FOR EYES OPTICAL OF PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-26",
"last_updated": "2013-10-01",
"deactivation_date": "2013-07-15",
"reactivation_date": "2013-08-02",
"status": "A",
"authorized_official_last_name": "WOLMAN",
"authorized_official_first_name": "PHILIP",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "305-557-9004",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "332H00000X",
"taxonomy_group": "",
"desc": "Eyewear Supplier",
"state": "MA",
"license": "6126",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "For Eyes",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.