Organization Active NPI

Boston Eye Group, P.C.

  • Ophthalmology Physician
  • Brookline, MA
National Provider Identifier
1205313525
Registry record updated Jul 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
BOSTON EYE GROUP, P.C.
Practice address
1101 Beacon St Ste 6W
Brookline, MA 02446-5587
Phone
(617) 566-0062
Fax
(617) 734-3264
NPI assigned
Jul 20, 2018
Last updated
Jul 20, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2018

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

Authorized official

Name
Dr. Samir Melki, MD
Title
Authorized Official
Phone
(617) 566-0062

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X Primary

Addresses

Primary practice location

1101 Beacon St Ste 6W
Brookline, MA 02446-5587

Mailing address

1101 Beacon St Ste 6W
Brookline, MA 02446-5587
Phone (617) 566-0062

National Provider Directory

National Provider Directory

Locations

1101 Beacon St
Ste 6W
Brookline, MA 02446
Phone (617) 566-0062

25 Marston St
Ste 104
Lawrence, MA 01841
Phone (978) 685-5366

NPI Registry JSON

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

{
    "created_epoch": "1532044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532044800000",
    "number": "1205313525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 BEACON ST STE 6W",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024465587",
            "telephone_number": "617-566-0062",
            "fax_number": "617-734-3264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 BEACON ST STE 6W",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024465587",
            "telephone_number": "617-566-0062",
            "fax_number": "617-734-3264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOSTON EYE GROUP, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-20",
        "last_updated": "2018-07-20",
        "status": "A",
        "authorized_official_last_name": "MELKI",
        "authorized_official_first_name": "SAMIR",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "617-566-0062",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookline, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2018; 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.