NPIMap

Organization Active NPI

Mr. Specs Opticians, Inc.

  • Eyewear Supplier
  • Lynn, MA
National Provider Identifier
1114055894
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
1941 Issued in MA
Legal business name
MR. SPECS OPTICIANS, INC.
Practice address
518 Chestnut St
Lynn, MA 01904-2717
Phone
(781) 592-8419
NPI assigned
Mar 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Alan Robert PiccoleNPI 1750940854
Title
President
Phone
(781) 592-8419

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X 1941 MA Primary

Addresses

Primary practice location

518 Chestnut St
Lynn, MA 01904-2717

Mailing address

518 Chestnut St
Lynn, MA 01904-2717
Phone (781) 592-8419

Other identifiers 1

IdentifierTypeStateIssuer
1529463MedicaidMA

National Provider Directory

National Provider Directory

Locations

518 Chestnut St
Lynn, MA 01904
Phone (781) 592-8419

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114055894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "518 CHESTNUT ST",
            "city": "LYNN",
            "state": "MA",
            "postal_code": "019042717",
            "telephone_number": "781-592-8419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "518 CHESTNUT ST",
            "city": "LYNN",
            "state": "MA",
            "postal_code": "019042717",
            "telephone_number": "781-592-8419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MR. SPECS OPTICIANS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PICCOLE",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "781-592-8419",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "MA",
            "license": "1941",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1529463",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynn, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.