Burlington Vision Associates, Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

License

MA3790 Issued in MA

Legal business name

BURLINGTON VISION ASSOCIATES, INC.

Doing business as

Georgetown Eye Associates

Practice address

1 E Main St
Georgetown, MA 01833-2037

Phone

(978) 352-5966

NPI assigned

Apr 16, 2007

Last updated

Jul 1, 2008By 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. Mark A. Traveis, O.D.NPI 1871566794

Title

Dr.

Phone

(978) 352-5966

Specialties & licenses 1

Addresses

Other identifiers 10

Other names 1

• Georgetown Eye Associates Doing business as

Locations

Practitioners 1

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.

• Mark A. Traveis, O.D.

  • Optometrist
  • Burlington, MA
  • NPI 1871566794
  NPD Authorized official

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214870400000",
    "number": "1093930935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 E MAIN ST",
            "city": "GEORGETOWN",
            "state": "MA",
            "postal_code": "018332037",
            "telephone_number": "978-352-5966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 E MAIN ST",
            "city": "GEORGETOWN",
            "state": "MA",
            "postal_code": "018332037",
            "telephone_number": "978-352-5966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BURLINGTON VISION ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-16",
        "last_updated": "2008-07-01",
        "status": "A",
        "authorized_official_last_name": "TRAVEIS",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "DR.",
        "authorized_official_telephone_number": "978-352-5966",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "MA3790",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "760854",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HPHC",
            "identifier": "152293",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "W20254",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MA",
            "identifier": "MA3790",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMC",
            "identifier": "4345730001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "W17006",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NH",
            "identifier": "0021531",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0369748",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITEDHEALTH",
            "identifier": "1784321",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FALLON",
            "identifier": "66285",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Georgetown Eye Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Optometrist in Georgetown, MA
• Providers in Georgetown, MA by specialty
• Optometrist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2008; 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.