Active NPI
Nancy S Slater, M.D.
- Ophthalmology Physician
- Lexington, MA
National Provider Identifier
1104975887
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 60370
- Practice address
- 48 North St
Lexington, MA 02420-1812 - Phone
- (781) 862-7893
- Fax
- (781) 862-7893
- NPI assigned
- Jan 10, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 60370 | MA | Primary |
Addresses
Primary practice location
48 North St
Lexington, MA 02420-1812
Mailing address
48 North St
Lexington, MA 02420-1812
Phone (781) 862-7893
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60370 | MA | MD | Ophthalmology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168387200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1251417600000",
"number": "1104975887",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "48 NORTH ST",
"city": "LEXINGTON",
"state": "MA",
"postal_code": "024201812",
"telephone_number": "781-862-7893",
"fax_number": "781-862-7893"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "48 NORTH ST",
"city": "LEXINGTON",
"state": "MA",
"postal_code": "024201812",
"telephone_number": "781-862-7893",
"fax_number": "781-862-7893"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SLATER",
"first_name": "NANCY",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-10",
"last_updated": "2009-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "MA",
"license": "60370",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lexington, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.