Active NPI
See South End Inc
- Optician
- Boston, MA
National Provider Identifier
1144720301
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- 4786
- Legal business name
- SEE SOUTH END INC
- Practice address
- 681 Tremont St Unit 1
Boston, MA 02118-1281 - Phone
- (617) 391-0088
- Fax
- (617) 391-0068
- NPI assigned
- Feb 14, 2018
- 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
- Ms. Mary E Keenan, REGISTERED DISPENSIN
- Title
- Owner/Operator/Optician
- Phone
- (617) 391-0088
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | 4786 | MA | Primary |
Addresses
Primary practice location
681 Tremont St Unit 1
Boston, MA 02118-1281
Mailing address
681 Tremont St Unit 1
Boston, MA 02118-1281
Phone (617) 391-0088
Other names 1
- South End Inc
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1518566400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1518566400000",
"number": "1144720301",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "681 TREMONT ST UNIT 1",
"city": "BOSTON",
"state": "MA",
"postal_code": "021181281",
"telephone_number": "617-391-0088",
"fax_number": "617-391-0068"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "681 TREMONT ST UNIT 1",
"city": "BOSTON",
"state": "MA",
"postal_code": "021181281",
"telephone_number": "617-391-0088",
"fax_number": "617-391-0068"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SEE SOUTH END INC",
"organizational_subpart": "NO",
"enumeration_date": "2018-02-14",
"last_updated": "2018-02-14",
"status": "A",
"authorized_official_last_name": "KEENAN",
"authorized_official_first_name": "MARY",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "OWNER/OPERATOR/OPTICIAN",
"authorized_official_telephone_number": "617-391-0088",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "REGISTERED DISPENSIN"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Technician/Technologist, Optician",
"state": "MA",
"license": "4786",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "South End Inc",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Feb 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.