NPIMap

Organization Active NPI

Tallman Eye Associates, PC

  • Ophthalmology Physician
  • Lawrence, MA
National Provider Identifier
1194833467
Registry record updated May 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
TALLMAN EYE ASSOCIATES, PC
Practice address
360 Merrimack St
BLDG 9, Entrance I
Lawrence, MA 01843-1764
Phone
(978) 688-6182
Fax
(978) 689-0731
NPI assigned
Aug 28, 2006
Last updated
May 13, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2025

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

Authorized official

Name
Cynthia L Deangelis, M.D.NPI 1366425639
Title
Partner/Owner
Phone
(978) 688-6182

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NU
Ophthalmology Physician 207W00000X NU Primary

Addresses

Primary practice location

360 Merrimack St
BLDG 9, Entrance I
Lawrence, MA 01843-1764

Mailing address

360 Merrimack St
BLDG 9, Entrance I
Lawrence, MA 01843-1764
Phone (978) 688-6182

Other identifiers 2

IdentifierTypeStateIssuer
9713735MedicaidMA
99009525MedicaidNH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, NH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050425000836 MA Part B Supplier - Clinic/Group Practice 3577501063 Receives reassigned benefits from 26 practitioners
Practice locations: Andover, MA; Waltham, MA; North Andover, MA; Newburyport, MA; Lowell, MA; Lawrence, MA; Haverhill, MA; Methuen, MA
O20060131000609 NH Part B Supplier - Clinic/Group Practice 3577501063 Receives reassigned benefits from 18 practitioners
Practice locations: Salem, NH; Nashua, NH; Derry, NH

National Provider Directory

National Provider Directory

Locations

60 East St
#100
Methuen, MA 01844
Phone (978) 682-8661

21 Highland Ave
Ste 1
Newburyport, MA 01950
Phone (978) 462-8751

451 Andover St
North Andover, MA 01845
Phone (978) 687-1313

451 Andover St
Ste G7
North Andover, MA 01845

70 Haven St
Reading, MA 01867
Phone (781) 942-0044

32 Stiles Rd
Salem, NH 03079
Phone (603) 386-0100

Ownership & related parties

Subparts reporting this organization as parent 3

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 31

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 31

NPI Registry JSON

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

{
    "created_epoch": "1156723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747094400000",
    "number": "1194833467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 MERRIMACK ST",
            "address_2": "BLDG 9, ENTRANCE I",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "018431764",
            "telephone_number": "978-688-6182",
            "fax_number": "978-689-0731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 MERRIMACK ST",
            "address_2": "BLDG 9, ENTRANCE I",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "018431764",
            "telephone_number": "978-688-6182",
            "fax_number": "978-689-0731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TALLMAN EYE ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-28",
        "last_updated": "2025-05-13",
        "certification_date": "2025-05-13",
        "status": "A",
        "authorized_official_last_name": "DEANGELIS",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PARTNER/OWNER",
        "authorized_official_telephone_number": "978-688-6182",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9713735",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "99009525",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrence, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2025; 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.