Organization Active NPI

University Eye Care, LLC

  • Optometrist
  • Westwood, MA
National Provider Identifier
1154793958
Registry record updated Mar 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4100 Issued in MA
Legal business name
UNIVERSITY EYE CARE, LLC
Practice address
221 University Ave
Westwood, MA 02090-2333
Phone
(781) 326-7359
NPI assigned
Oct 20, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2016

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

Authorized official

Name
Constance Lee, O.D.NPI 1912907429
Title
Manager
Phone
(781) 326-7359

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 4100 MA Primary

Addresses

Primary practice location

221 University Ave
Westwood, MA 02090-2333

Mailing address

PO Box 152
Norwood, MA 02062-0152
Phone (781) 326-7359

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160307000225 MA Part B Supplier - Clinic/Group Practice 0749586410 Receives reassigned benefits from 2 practitioners
Practice locations: Westwood, MA

National Provider Directory

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.

NPI Registry JSON

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

{
    "created_epoch": "1445299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458259200000",
    "number": "1154793958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 152",
            "city": "NORWOOD",
            "state": "MA",
            "postal_code": "020620152",
            "telephone_number": "781-326-7359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 UNIVERSITY AVE",
            "city": "WESTWOOD",
            "state": "MA",
            "postal_code": "020902333",
            "telephone_number": "781-326-7359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY EYE CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-20",
        "last_updated": "2016-03-18",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "CONSTANCE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "781-326-7359",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MA",
            "license": "4100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westwood, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.