NPIMap

Organization Active NPI

Appleton Eye Associates P.C.

  • Optometrist
  • Ipswich, MA
National Provider Identifier
1124613542
Registry record updated Mar 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
APPLETON EYE ASSOCIATES P.C.
Practice address
21 Market Street Suite 100
Ipswich, MA 01938
Phone
(978) 356-3015
Fax
(978) 356-7525
NPI assigned
Mar 8, 2021
Last updated
Mar 8, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2021

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

Authorized official

Name
Kevin Michael Gasiorowski, DONPI 1265411219
Title
Owner
Phone
(978) 465-8761

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NU Primary

Addresses

Primary practice location

21 Market Street Suite 100
Ipswich, MA 01938

Mailing address

21 Market Street Suite 100
Ipswich, MA 01938
Phone (978) 356-3015

Other identifiers 1

IdentifierTypeStateIssuer
0391727MedicaidMA

National Provider Directory

National Provider Directory
Tax ID family
Appleton Eye Associates PC7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

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": "1615161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615161600000",
    "number": "1124613542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 MARKET STREET SUITE 100",
            "city": "IPSWICH",
            "state": "MA",
            "postal_code": "01938",
            "telephone_number": "978-356-3015",
            "fax_number": "978-356-7525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 MARKET STREET SUITE 100",
            "city": "IPSWICH",
            "state": "MA",
            "postal_code": "01938",
            "telephone_number": "978-356-3015",
            "fax_number": "978-356-7525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APPLETON EYE ASSOCIATES P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-08",
        "last_updated": "2021-03-08",
        "certification_date": "2021-01-28",
        "status": "A",
        "authorized_official_last_name": "GASIOROWSKI",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "978-465-8761",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0391727",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ipswich, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2021; 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.