Organization Active NPI

Mass Retina Eye Specialists, Inc.

  • Retina Specialist (Ophthalmology) Physician
  • Brockton, MA
National Provider Identifier
1174285365
Registry record updated Jul 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
Legal business name
MASS RETINA EYE SPECIALISTS, INC.
Practice address
1 Pearl St Ste 1300
Brockton, MA 02301-2867
Phone
(315) 450-1458
NPI assigned
Oct 6, 2021
Last updated
Jul 6, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2025

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

Authorized official

Name
Dr. Sharmila Srinivasan, MDNPI 1033386057
Title
President
Phone
(508) 232-3222

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X NU
Retina Specialist (Ophthalmology) Physician 207WX0107X NU Primary

Addresses

Primary practice location

1 Pearl St Ste 1300
Brockton, MA 02301-2867

Mailing address

1 Pearl St Ste 1300
Brockton, MA 02301-2867
Phone (508) 232-3222

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211104001451 MA Part B Supplier - Clinic/Group Practice 2567850944 Receives reassigned benefits from 1 practitioner
Practice locations: Brockton, MA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1633478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751760000000",
    "number": "1174285365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 PEARL ST STE 1300",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023012867",
            "telephone_number": "508-232-3222",
            "fax_number": "508-510-4774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 PEARL ST STE 1300",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023012867",
            "telephone_number": "315-450-1458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASS RETINA EYE SPECIALISTS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-06",
        "last_updated": "2025-07-06",
        "certification_date": "2025-07-06",
        "status": "A",
        "authorized_official_last_name": "SRINIVASAN",
        "authorized_official_first_name": "SHARMILA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "508-232-3222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brockton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2025; 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.