Organization Active NPI

TPB Enterprises, Inc

Doing business as Framingham Optical

  • Optometrist
  • Framingham, MA
National Provider Identifier
1114948304
Registry record updated Apr 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4555 Issued in MA
Legal business name
TPB ENTERPRISES, INC
Doing business as
Framingham Optical
Lilly Eye Care
Practice address
545 Union Ave
Framingham, MA 01702-5819
Phone
(508) 875-9636
Fax
(508) 875-3770
NPI assigned
Jul 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2023

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

Authorized official

Name
Trung Van BuiNPI 1073537775
Title
Director
Phone
(508) 875-9636

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
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 4555 MA Primary

Addresses

Primary practice location

545 Union Ave
Framingham, MA 01702-5819

Mailing address

545 Union Ave
Framingham, MA 01702-5819
Phone (508) 875-9636

Other practice location 1

328 Washington St Ste 3
Wellesley Hills, MA 02481-6252
Phone (781) 235-6273

Other identifiers 2

IdentifierTypeStateIssuer
W21101OtherMAMEDICARE PTAN
110084466/AMedicaidMA

Other names 2

  • FRAMINGHAM OPTICAL Doing business as
  • LILLY EYE CARE Doing business as

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address TRUNGBUIOD@LILLY-EYECARE.COM Direct
Direct Messaging Address TRUNGBUI@ONLINETPB.COM Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070111000388 MA Part B Supplier - Clinic/Group Practice 4082614235 Receives reassigned benefits from 3 practitioners
Practice locations: Framingham, MA; Wellesley Hills, MA

National Provider Directory

National Provider Directory

Locations

44 Union Ave
Framingham, MA 01702
Phone (508) 875-3770

545 Union Ave
Framingham, MA 01702
Phone (508) 875-9636

545 Union Ave
Unit A
Framingham, MA 01702
Phone (508) 875-9636

221 Quincy Ave
#B
Quincy, MA 02169
Phone (617) 657-0205

328 Washington St
Ste 3
Wellesley Hills, MA 02481
Phone (781) 235-6273

Interoperability endpoints

  • Direct secure messaging: trungbuiod@lilly-eyecare.com

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680912000000",
    "number": "1114948304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "545 UNION AVE",
            "city": "FRAMINGHAM",
            "state": "MA",
            "postal_code": "017025819",
            "telephone_number": "508-875-9636",
            "fax_number": "508-875-3770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "545 UNION AVE",
            "city": "FRAMINGHAM",
            "state": "MA",
            "postal_code": "017025819",
            "telephone_number": "508-875-9636",
            "fax_number": "508-875-3770"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "328 Washington St Ste 3",
            "address_purpose": "LOCATION",
            "city": "Wellesley Hills",
            "state": "MA",
            "postal_code": "024816252",
            "country_code": "US",
            "telephone_number": "781-235-6273",
            "fax_number": "781-235-7645",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TPB ENTERPRISES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-22",
        "last_updated": "2023-04-08",
        "certification_date": "2023-04-08",
        "status": "A",
        "authorized_official_last_name": "BUI",
        "authorized_official_first_name": "TRUNG",
        "authorized_official_middle_name": "VAN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "508-875-9636"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MA",
            "license": "4555",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "W21101",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110084466/A",
            "state": "MA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "TRUNGBUIOD@LILLY-EYECARE.COM",
            "affiliation": "N",
            "endpointDescription": "BUSINESS EMAIL",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "ALL BUSINESS CONTENT",
            "address_1": "323 Washington St Ste 3",
            "city": "Wellesley Hills",
            "state": "MA",
            "country_code": "US",
            "postal_code": "024814913",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "TRUNGBUI@ONLINETPB.COM",
            "affiliation": "N",
            "endpointDescription": "BUSINESS EMAIL",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "All Business Content",
            "address_1": "545 Union Ave",
            "city": "Framingham",
            "state": "MA",
            "country_code": "US",
            "postal_code": "017025819",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "FRAMINGHAM OPTICAL",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "LILLY EYE CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Framingham, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.