Bourne Vision Consultants, LTD

Primary specialty

OptometristTaxonomy code 152W00000X

License

2508 Issued in MA

Legal business name

BOURNE VISION CONSULTANTS, LTD

Practice address

16 Mac Arthur Blvd
Bourne, MA 02532-3918

Phone

(508) 759-2559

Fax

(508) 759-3418

NPI assigned

Jul 6, 2010

Last updated

Dec 15, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Dana Christopher Ricker, O.D.

Title

President/Owner

Phone

(508) 759-2559

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1278374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323907200000",
    "number": "1194037226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 MAC ARTHUR BLVD",
            "city": "BOURNE",
            "state": "MA",
            "postal_code": "025323918",
            "telephone_number": "508-759-2559",
            "fax_number": "508-759-3418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 MAC ARTHUR BLVD",
            "city": "BOURNE",
            "state": "MA",
            "postal_code": "025323918",
            "telephone_number": "508-759-2559",
            "fax_number": "508-759-3418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOURNE VISION CONSULTANTS, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-06",
        "last_updated": "2011-12-15",
        "status": "A",
        "authorized_official_last_name": "RICKER",
        "authorized_official_first_name": "DANA",
        "authorized_official_middle_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "508-759-2559",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "2508",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0339946",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Heather Lynn Brunelle, COTA

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 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.