NPIMap

Organization Active NPI

Essex Vitreoretinal Services, Inc.

  • Ophthalmology Physician
  • Beverly, MA
National Provider Identifier
1205866910
Registry record updated Feb 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
ESSEX VITREORETINAL SERVICES, INC.
Practice address
75 Herrick St
Suite 215
Beverly, MA 01915-5903
Phone
(978) 922-1390
Fax
(978) 922-1443
NPI assigned
Jul 5, 2006
Last updated
Feb 10, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2012

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

Authorized official

Name
William G. Stinson, MD
Title
President
Phone
(978) 922-1390

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X NU Primary

Addresses

Primary practice location

75 Herrick St
Suite 215
Beverly, MA 01915-5903

Mailing address

75 Herrick St
Suite 215
Beverly, MA 01915-5903
Phone (978) 922-1390

National Provider Directory

National Provider Directory

Locations

100 Cummings Ctr
Ste 109G
Beverly, MA 01915
Phone (978) 922-1390

75 Herrick St
Ste 215
Beverly, MA 01915
Phone (978) 922-1390

225 Boston St
Ste 301
Lynn, MA 01904
Phone (781) 477-0571

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328832000000",
    "number": "1205866910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 HERRICK ST",
            "address_2": "SUITE 215",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019155903",
            "telephone_number": "978-922-1390",
            "fax_number": "978-922-1443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 HERRICK ST",
            "address_2": "SUITE 215",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019155903",
            "telephone_number": "978-922-1390",
            "fax_number": "978-922-1443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESSEX VITREORETINAL SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2012-02-10",
        "status": "A",
        "authorized_official_last_name": "STINSON",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "978-922-1390",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2012; 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.