Organization Active NPI

Katherine F Coffey OD LLC

  • Optometrist
  • Quincy, MA
National Provider Identifier
1205970738
Registry record updated Dec 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
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

Updated by the provider on Dec 17, 2014

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)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
W20172OtherBCBS

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.