Organization Active NPI

See South End Inc

  • Optician
  • Boston, MA
National Provider Identifier
1144720301
Registry record updated Feb 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
4786 Issued in MA
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

Updated by the provider on Feb 14, 2018

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)CodeLicenseStatePrimary
OpticianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.