Organization Active NPI

Stoughton Optometric Care Inc

  • Optometrist
  • Stoughton, MA
National Provider Identifier
1114329083
Registry record updated Sep 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3721 Issued in MA
Legal business name
STOUGHTON OPTOMETRIC CARE INC
Practice address
84 Pearl St
Stoughton, MA 02072-2350
Phone
(781) 344-4582
NPI assigned
Sep 22, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2014

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

Authorized official

Name
Dr. Fatima Garcia, OD
Title
President
Phone
(781) 344-4582

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 3721 MA Primary

Addresses

Primary practice location

84 Pearl St
Stoughton, MA 02072-2350

Mailing address

84 Pearl St
Stoughton, MA 02072-2350
Phone (781) 344-4582

Other identifiers 1

IdentifierTypeStateIssuer
1568503472OtherMANPI 15868503472

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1411344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411344000000",
    "number": "1114329083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "84 PEARL ST",
            "city": "STOUGHTON",
            "state": "MA",
            "postal_code": "020722350",
            "telephone_number": "781-344-4582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "84 PEARL ST",
            "city": "STOUGHTON",
            "state": "MA",
            "postal_code": "020722350",
            "telephone_number": "781-344-4582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STOUGHTON OPTOMETRIC CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-22",
        "last_updated": "2014-09-22",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "FATIMA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "781-344-4582",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MA",
            "license": "3721",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI 15868503472",
            "identifier": "1568503472",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stoughton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2014; 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.