Active NPI
Eye Health Services, Inc
- Ophthalmology Physician
- South Yarmouth, MA
National Provider Identifier
1184911026
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9711317 | Medicaid | MA |
Other names 1
- Eye Health Services
National Provider Directory
National Provider DirectoryNPI 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.