Active NPI
Arthur Thomas Mackay
- Optometrist
- Newton, MA
National Provider Identifier
1174089957
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2737
- Practice address
- 30 Walsh Rd
Newton, MA 02459-3529 - Phone
- (617) 584-0209
- NPI assigned
- Feb 16, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2737 | MA | Primary |
Addresses
Primary practice location
30 Walsh Rd
Newton, MA 02459-3529
Mailing address
PO Box 263
Bedford, MA 01730-0263
Phone (617) 584-0209
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2737 | Other | MA | LICENSE NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1550275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1550275200000",
"number": "1174089957",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 263",
"city": "BEDFORD",
"state": "MA",
"postal_code": "017300263",
"telephone_number": "617-584-0209"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 WALSH RD",
"city": "NEWTON",
"state": "MA",
"postal_code": "024593529",
"telephone_number": "617-584-0209"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACKAY",
"first_name": "ARTHUR",
"middle_name": "THOMAS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-02-16",
"last_updated": "2019-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MA",
"license": "2737",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NUMBER",
"identifier": "2737",
"state": "MA"
}
],
"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 Feb 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.