Organization Active NPI

Docs-Steward LLC

  • Ophthalmology Physician
  • Dedham, MA
National Provider Identifier
1104285501
Registry record updated Feb 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
DOCS-STEWARD LLC
Practice address
980 Washington St
Suite 120
Dedham, MA 02026-6731
Phone
(781) 251-2222
Fax
(781) 234-0279
NPI assigned
Feb 15, 2016
Last updated
Feb 15, 2016By the provider in NPPES
Organization subpart
Yes
Parent organization
DEDHAM OPHTHALMIC CONSULTANTS & SURGEONSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 15, 2016

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

Authorized official

Name
Dr. Andrew J Gillies, M.D.NPI 1174520563
Title
President
Phone
(781) 251-2222

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

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

Addresses

Primary practice location

980 Washington St
Suite 120
Dedham, MA 02026-6731

Mailing address

980 Washington St
Suite 120
Dedham, MA 02026-6731
Phone (781) 251-2222

National Provider Directory

National Provider Directory
Part of
Dedham Ophthalmic Consultants and Surgeons PC

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1455494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455494400000",
    "number": "1104285501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "980 WASHINGTON ST",
            "address_2": "SUITE 120",
            "city": "DEDHAM",
            "state": "MA",
            "postal_code": "020266731",
            "telephone_number": "781-251-2222",
            "fax_number": "781-234-0279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "980 WASHINGTON ST",
            "address_2": "SUITE 120",
            "city": "DEDHAM",
            "state": "MA",
            "postal_code": "020266731",
            "telephone_number": "781-251-2222",
            "fax_number": "781-234-0279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOCS-STEWARD LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DEDHAM OPHTHALMIC CONSULTANTS & SURGEONS",
        "enumeration_date": "2016-02-15",
        "last_updated": "2016-02-15",
        "status": "A",
        "authorized_official_last_name": "GILLIES",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "781-251-2222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dedham, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2016; 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.