Organization Active NPI

Eye Health Services, Inc

  • Ophthalmology Physician
  • South Yarmouth, MA
National Provider Identifier
1184911026
Registry record updated Jun 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
EYE HEALTH SERVICES, INC
Doing business as
Eye Health Services
Practice address
23 Whites Path
South Yarmouth, MA 02664-1221
Phone
(508) 398-6131
Fax
(508) 398-7440
NPI assigned
Jun 29, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2011

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

Authorized official

Name
Eric H Johnson, MD
Title
President/Eye Health Services
Phone
(617) 472-5242

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

23 Whites Path
South Yarmouth, MA 02664-1221

Mailing address

1900 Crown Colony Dr
Suite 301
Quincy, MA 02169-0975
Phone (617) 770-4400

Other identifiers 1

IdentifierTypeStateIssuer
9711317MedicaidMA

Other names 1

  • Eye Health Services Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1309305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309305600000",
    "number": "1184911026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 CROWN COLONY DR",
            "address_2": "SUITE 301",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021690975",
            "telephone_number": "617-770-4400",
            "fax_number": "617-471-5093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 WHITES PATH",
            "city": "SOUTH YARMOUTH",
            "state": "MA",
            "postal_code": "026641221",
            "telephone_number": "508-398-6131",
            "fax_number": "508-398-7440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE HEALTH SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-29",
        "last_updated": "2011-06-29",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT/EYE HEALTH SERVICES",
        "authorized_official_telephone_number": "617-472-5242",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9711317",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eye Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in South Yarmouth, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.