Active NPI
William E Sheehan Jr., OD
- Optometrist
- Quincy, MA
National Provider Identifier
1114142122
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 3004
- Practice address
- 1 Scammell St
Mass Optometric Associates, P.C.
Quincy, MA 02169-6706 - Phone
- (617) 773-1353
- Fax
- (617) 773-1309
- NPI assigned
- Apr 16, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Optometrist | 152W00000X | 3004 | MA | Primary |
Addresses
Primary practice location
1 Scammell St
Mass Optometric Associates, P.C.
Quincy, MA 02169-6706
Mailing address
2921 Erie Blvd E
C/O Empire Vision Center Inc, P.C.
Syracuse, NY 13224-1430
Phone (315) 445-7465
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0838 | NH | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1185926400000",
"number": "1114142122",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2921 ERIE BLVD E",
"address_2": "C/O EMPIRE VISION CENTER INC, P.C.",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132241430",
"telephone_number": "315-445-7465",
"fax_number": "315-445-7675"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 SCAMMELL ST",
"address_2": "MASS OPTOMETRIC ASSOCIATES, P.C.",
"city": "QUINCY",
"state": "MA",
"postal_code": "021696706",
"telephone_number": "617-773-1353",
"fax_number": "617-773-1309"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEEHAN",
"first_name": "WILLIAM",
"middle_name": "E",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-16",
"last_updated": "2007-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MA",
"license": "3004",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Quincy, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.