Organization Active NPI

Highland Eye Care Inc

  • Optometrist
  • Newton Highlands, MA
National Provider Identifier
1184005472
Registry record updated Jul 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4982 Issued in MA
Legal business name
HIGHLAND EYE CARE INC
Practice address
33 Lincoln St
Newton Highlands, MA 02461-1526
Phone
(617) 332-2664
NPI assigned
Jun 12, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2015

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

Authorized official

Name
Rae Huang, ODNPI 1598192791
Title
Owner
Phone
(781) 301-1436

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 4982 MA Primary

Addresses

Primary practice location

33 Lincoln St
Newton Highlands, MA 02461-1526

Mailing address

33 Lincoln St
Newton Highlands, MA 02461-1526

Other identifiers 1

IdentifierTypeStateIssuer
110100941AMedicaidMA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150811003754 MA Part B Supplier - Clinic/Group Practice 5395050058 Receives reassigned benefits from 1 practitioner
Practice locations: Newton Highlands, MA

National Provider Directory

National Provider Directory

Locations

33 Lincoln St
Newton Highlands, MA 02461
Phone (617) 332-2023

Practitioners & affiliated clinicians

Practitioners 1

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": "1434067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438128000000",
    "number": "1184005472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 LINCOLN ST",
            "city": "NEWTON HIGHLANDS",
            "state": "MA",
            "postal_code": "024611526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 LINCOLN ST",
            "city": "NEWTON HIGHLANDS",
            "state": "MA",
            "postal_code": "024611526",
            "telephone_number": "617-332-2664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGHLAND EYE CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-12",
        "last_updated": "2015-07-29",
        "status": "A",
        "authorized_official_last_name": "HUANG",
        "authorized_official_first_name": "RAE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "781-301-1436",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MA",
            "license": "4982",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110100941A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton Highlands, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2015; 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.