NPIMap

Organization Active NPI

Fancy Eyes LLC

Doing business as cohen's fashion optical

  • Optician
  • Boston, MA
National Provider Identifier
1205955606
Registry record updated Jan 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
5908 Issued in MA
Legal business name
FANCY EYES LLC
Doing business as
cohen's fashion optical
Practice address
607 Boylston St
Boston, MA 02116-3604
Phone
(617) 236-5500
Fax
(617) 236-5505
NPI assigned
Mar 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2014

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

Authorized official

Name
Ms. Dolly Lakkis
Title
Owner
Phone
(617) 236-5500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OpticianGroup: 193400000X SINGLE SPECIALTY GROUP 156FX1800X 5908 MA Primary

Addresses

Primary practice location

607 Boylston St
Boston, MA 02116-3604

Mailing address

607 Boylston St
Boston, MA 02116-3604
Phone (617) 236-5500

Other names 1

  • cohen's fashion optical Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389052800000",
    "number": "1205955606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 BOYLSTON ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021163604",
            "telephone_number": "617-236-5500",
            "fax_number": "617-236-5505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 BOYLSTON ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021163604",
            "telephone_number": "617-236-5500",
            "fax_number": "617-236-5505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FANCY EYES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2014-01-07",
        "status": "A",
        "authorized_official_last_name": "LAKKIS",
        "authorized_official_first_name": "DOLLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-236-5500",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "MA",
            "license": "5908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "cohen's fashion optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Boston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2014; 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.