NPIMap

Organization Active NPI

Dr Arnold Zide

  • Optometrist
  • Boston, MA
National Provider Identifier
1124426937
Registry record updated Dec 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2670TP Issued in MA
Legal business name
DR ARNOLD ZIDE
Practice address
48 High St
Visioncare2000
Boston, MA 02110-2301
Phone
(617) 542-2015
Fax
(617) 542-2021
NPI assigned
Dec 10, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2014

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

Authorized official

Name
Dr. Arnold S. Zide, O.D.
Title
Dr
Phone
(617) 542-2015

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X 2670TP MA Primary
Corneal and Contact Management OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152WC0802X 2670TP MA
Sports Vision OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152WS0006X 2670TP MA
Occupational Vision OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152WX0102X 2670TP MA

Addresses

Primary practice location

48 High St
Visioncare2000
Boston, MA 02110-2301

Mailing address

48 High St
Visioncare2000
Boston, MA 02110-2301
Phone (617) 542-2015

Other identifiers 1

IdentifierTypeStateIssuer
110014734/AMedicaidMA

National Provider Directory

National Provider Directory

Locations

48 High St
#2000
Boston, MA 02110
Phone (617) 542-2015

NPI Registry JSON

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

{
    "created_epoch": "1418169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418169600000",
    "number": "1124426937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 HIGH ST",
            "address_2": "VISIONCARE2000",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021102301",
            "telephone_number": "617-542-2015",
            "fax_number": "617-542-2021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 HIGH ST",
            "address_2": "VISIONCARE2000",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021102301",
            "telephone_number": "617-542-2015",
            "fax_number": "617-542-2021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR ARNOLD ZIDE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-10",
        "last_updated": "2014-12-10",
        "status": "A",
        "authorized_official_last_name": "ZIDE",
        "authorized_official_first_name": "ARNOLD",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "DR",
        "authorized_official_telephone_number": "617-542-2015",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "MA",
            "license": "2670TP",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "MA",
            "license": "2670TP",
            "primary": false
        },
        {
            "code": "152WS0006X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Sports Vision",
            "state": "MA",
            "license": "2670TP",
            "primary": false
        },
        {
            "code": "152WX0102X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Occupational Vision",
            "state": "MA",
            "license": "2670TP",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110014734/A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 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.