Herbert L Schurgin OD PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

2123 Issued in MA

Legal business name

HERBERT L SCHURGIN OD PC

Doing business as

Suburban Eye Associates

Practice address

511 Main St
Melrose, MA 02176-3834

Phone

(781) 662-9229

Fax

(781) 662-1568

NPI assigned

Dec 5, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Herbert Schurgin, ODNPI 1497933121

Title

Owner President

Phone

(781) 662-9229

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Suburban Eye Associates Doing business as

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Herbert L Schurgin, O.D.

  • Optometrist
  • Melrose, MA
  • NPI 1497933121
  Medicare reassignment Authorized official
• Andrea Tanona, D.O.

  • Optician
  • Amesbury, MA
  • NPI 1184027427
  NPD (past)

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201824000000",
    "number": "1184782948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 MAIN ST",
            "city": "MELROSE",
            "state": "MA",
            "postal_code": "021763834",
            "telephone_number": "781-662-9229",
            "fax_number": "781-662-1568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 MAIN ST",
            "city": "MELROSE",
            "state": "MA",
            "postal_code": "021763834",
            "telephone_number": "781-662-9229",
            "fax_number": "781-662-1568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERBERT L SCHURGIN OD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2008-02-01",
        "status": "A",
        "authorized_official_last_name": "SCHURGIN",
        "authorized_official_first_name": "HERBERT",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "781-662-9229",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MA",
            "license": "2123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0396303",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLANS",
            "identifier": "725491",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "W15515",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Suburban Eye Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sam Healy, LICSW
• Heather Corazzini PSYD LLC
• Karl Eric Henrikson, MD
• Andy Hamilton Henriquez
• Henry D Haynes, LLC
• Julie L Hersey, MS, RDN, LDN
• Kathleen Marie Hickey, RDN LDN
• Nicole Lynn Hinckley, LICSW
• Kristin E Hoffman, PA-C
• Home Health Care

• Optometrist in Melrose, MA
• Providers in Melrose, MA by specialty
• Optometrist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2008; 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.