Active NPI
North Shore Cataract and Laser Center, LLC
- Ophthalmologic Surgery Clinic/Center
- Stoneham, MA
National Provider Identifier
1144287350
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmologic Surgery Clinic/Center
- Legal business name
- NORTH SHORE CATARACT AND LASER CENTER, LLC
- Practice address
- 91 Montvale Ave
Stoneham, MA 02180 - Phone
- (781) 438-5995
- Fax
- (781) 279-1238
- NPI assigned
- May 1, 2006
- 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
- Mr. Kenneth J Camerota
- Title
- Administrator
- Phone
- (781) 331-3820
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmologic Surgery Clinic/Center | 261QS0132X | Primary |
Addresses
Primary practice location
91 Montvale Ave
Stoneham, MA 02180
Mailing address
91 Montvale Ave
Stoneham, MA 02180
Phone (781) 438-5995
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| M88024 | Other | BCBS | |
| 1857975 | Medicaid | MA | |
| 221037 | Other | MA | MEDICARE PART B |
| 694202 | Other | TUFTS | |
| 903499 | Other | HPHC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100105000025 | MA | Part B Supplier - Ambulatory Surgical Center | 0840331427 | Practice locations: Stoneham, MA |
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- North Shore Cataract and Laser Center LLC
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 22D0998237 | North Shore Cataract and Laser Ctr LLC | Certificate of waiver | Apr 9, 2028 |
National Provider Directory
National Provider DirectoryLocations
91 Montvale Ave
Fl 3
Stoneham, MA 02180
Phone (781) 438-5995
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Specialist
- Brookline, MA
- NPI 1093793564
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146441600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1684195200000",
"number": "1144287350",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "91 MONTVALE AVE",
"city": "STONEHAM",
"state": "MA",
"postal_code": "02180",
"telephone_number": "781-438-5995",
"fax_number": "781-279-1238"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "91 MONTVALE AVE",
"city": "STONEHAM",
"state": "MA",
"postal_code": "02180",
"telephone_number": "781-438-5995",
"fax_number": "781-279-1238"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTH SHORE CATARACT AND LASER CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-01",
"last_updated": "2023-05-16",
"certification_date": "2023-05-16",
"status": "A",
"authorized_official_last_name": "CAMEROTA",
"authorized_official_first_name": "KENNETH",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "781-331-3820",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QS0132X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ophthalmologic Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "M88024",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1857975",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PART B",
"identifier": "221037",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS",
"identifier": "694202",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HPHC",
"identifier": "903499",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Stoneham, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.