Organization Active NPI

Central Eye Care of Newton, LLC

  • Optometrist
  • Newton, MA
National Provider Identifier
1164967949
Registry record updated Jan 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4690 Issued in MA
Legal business name
CENTRAL EYE CARE OF NEWTON, LLC
Practice address
697 Washington St
Newton, MA 02458-1388
Phone
(617) 651-2393
Fax
(617) 964-1417
NPI assigned
Jan 3, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2017

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

Authorized official

Name
Dr. Phiyen H. Le, O.D.NPI 1730344961
Title
Optometrist
Phone
(617) 651-2393

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 4690 MA Primary

Addresses

Primary practice location

697 Washington St
Newton, MA 02458-1388

Mailing address

697 Washington St
Newton, MA 02458-1388
Phone (617) 651-2393

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170207002135 MA Part B Supplier - Clinic/Group Practice 2365725850 Receives reassigned benefits from 2 practitioners
Practice locations: West Newton, MA

National Provider Directory

National Provider Directory

Locations

697 Washington St
Newton, MA 02458
Phone (617) 527-1418

697 Washington St
Ste 102
Newtonville, MA 02458
Phone (617) 651-2393

1001 Watertown St
Ste 3
West Newton, MA 02465
Phone (617) 527-1418

1001 Watertown St
West Newton, MA 02465
Phone (617) 965-1321

1001 Watertown St
Ste 3R
West Newton, MA 02465

Practitioners & affiliated clinicians

Practitioners 3

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": "1483401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483401600000",
    "number": "1164967949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "697 WASHINGTON ST",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024581388",
            "telephone_number": "617-651-2393",
            "fax_number": "617-964-1417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "697 WASHINGTON ST",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024581388",
            "telephone_number": "617-651-2393",
            "fax_number": "617-964-1417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL EYE CARE OF NEWTON, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-03",
        "last_updated": "2017-01-03",
        "status": "A",
        "authorized_official_last_name": "LE",
        "authorized_official_first_name": "PHIYEN",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "617-651-2393",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MA",
            "license": "4690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2017; 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.