Eye Services Consultants Inc PC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

056584 Issued in MA

Legal business name

EYE SERVICES CONSULTANTS INC PC

Practice address

2110 Dorchester Ave
Suite 306
Dorchester, MA 02124-5628

Phone

(617) 296-1828

Fax

(617) 296-5717

NPI assigned

Jan 17, 2007

Organization subpart

No

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

Authorized official

Name

Jean Bernard Charles, MDNPI 1396940326

Title

President

Phone

(617) 296-1828

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Locations

Practitioners 2

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

• Jean B Charles, MD

  • Ophthalmology Physician
  • Dorchester Center, MA
  • NPI 1396940326
  Medicare reassignment NPD Authorized official
• Dan Phuong T Nguyen, O.D

  • Optometrist
  • Dorchester, MA
  • NPI 1245692722
  NPD (past)

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478563200000",
    "number": "1225180797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 365481",
            "city": "HYDE PARK",
            "state": "MA",
            "postal_code": "02136",
            "telephone_number": "617-296-1828",
            "fax_number": "617-298-0854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2110 DORCHESTER AVE",
            "address_2": "SUITE 306",
            "city": "DORCHESTER",
            "state": "MA",
            "postal_code": "021245628",
            "telephone_number": "617-296-1828",
            "fax_number": "617-296-5717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE SERVICES CONSULTANTS INC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2016-11-08",
        "status": "A",
        "authorized_official_last_name": "CHARLES",
        "authorized_official_first_name": "JEAN",
        "authorized_official_middle_name": "BERNARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "617-296-1828",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "MA",
            "license": "056584",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3071413",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Ophthalmology Physician in Dorchester, MA
• Providers in Dorchester, MA by specialty
• Ophthalmology Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.