Active NPI
Boston Laser Cornea Center
Doing business as Boston Eye Group
- Occupational Vision Optometrist
- Lawrence, MA
National Provider Identifier
1114238326
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Vision Optometrist
- License
- MA6694
- Legal business name
- BOSTON LASER CORNEA CENTER
- Doing business as
- Boston Eye Group
- Practice address
- 280 Haverhill St
Lawrence, MA 01840-1208 - Phone
- (978) 685-5366
- Fax
- (978) 685-4867
- NPI assigned
- Jun 23, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Kristina Slattery
- Title
- Practice Administrator
- Phone
- (617) 566-0068
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Vision Optometrist | 152WX0102X | MA6694 | MA | Primary |
Addresses
Primary practice location
280 Haverhill St
Lawrence, MA 01840-1208
Mailing address
1102 Beacon Street
6W
Brookline, MA 02446
Phone (617) 566-0062
Other names 1
- Boston Eye Group
National Provider Directory
National Provider Directory- Tax ID family
- Boston Eye Group
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Boston Vision
- Ambulatory Surgical Clinic/Center
- Brookline, MA
- NPI 1063749307
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277251200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1277251200000",
"number": "1114238326",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1102 BEACON STREET",
"address_2": "6W",
"city": "BROOKLINE",
"state": "MA",
"postal_code": "02446",
"telephone_number": "617-566-0062",
"fax_number": "617-734-3264"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "280 HAVERHILL ST",
"city": "LAWRENCE",
"state": "MA",
"postal_code": "018401208",
"telephone_number": "978-685-5366",
"fax_number": "978-685-4867"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BOSTON LASER CORNEA CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2010-06-23",
"last_updated": "2010-06-23",
"status": "A",
"authorized_official_last_name": "SLATTERY",
"authorized_official_first_name": "KRISTINA",
"authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
"authorized_official_telephone_number": "617-566-0068",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "152WX0102X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Optometrist, Occupational Vision",
"state": "MA",
"license": "MA6694",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Boston Eye Group",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Lawrence, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.