Active NPI
Katherine F Coffey OD LLC
- Optometrist
- Quincy, MA
National Provider Identifier
1205970738
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- KATHERINE F COFFEY OD LLC
- Practice address
- 104 Quarry St
Suite 3
Quincy, MA 02169-4174 - Phone
- (617) 481-6650
- Fax
- (617) 302-4713
- NPI assigned
- Feb 17, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Katherine F Coffey, OD
- Title
- Owner
- Phone
- (617) 698-2040
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary |
Addresses
Primary practice location
104 Quarry St
Suite 3
Quincy, MA 02169-4174
Mailing address
104 Quarry St
Suite 3
Quincy, MA 02169-4174
Phone (617) 481-6650
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| W20172 | Other | BCBS |
National Provider Directory
National Provider DirectoryLocations
480 Adams St
#114
Milton, MA 02186
Phone (617) 698-2040
480 Adams St
Ste 114
Milton, MA 02186
Phone (617) 698-2040
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171670400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1418774400000",
"number": "1205970738",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 QUARRY ST",
"address_2": "SUITE 3",
"city": "QUINCY",
"state": "MA",
"postal_code": "021694174",
"telephone_number": "617-481-6650",
"fax_number": "617-302-4713"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 QUARRY ST",
"address_2": "SUITE 3",
"city": "QUINCY",
"state": "MA",
"postal_code": "021694174",
"telephone_number": "617-481-6650",
"fax_number": "617-302-4713"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KATHERINE F COFFEY OD LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-17",
"last_updated": "2014-12-17",
"status": "A",
"authorized_official_last_name": "COFFEY",
"authorized_official_first_name": "KATHERINE",
"authorized_official_middle_name": "F",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "617-698-2040",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "W20172",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Quincy, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 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.