Eye Health Services, Inc.

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

6130 Issued in MA

Legal business name

EYE HEALTH SERVICES, INC.

Practice address

2110 Dorchester Ave
Ste 100
Dorchester Center, MA 02124-5628

Phone

(617) 298-5300

Fax

(617) 296-3028

NPI assigned

Feb 12, 2009

Last updated

Jun 21, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Paul J Wasson, M.D.

Title

Clerk

Phone

(617) 472-5242

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1234396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371772800000",
    "number": "1225277361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 CROWN COLONY DR",
            "address_2": "STE 301",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021690979",
            "telephone_number": "617-472-5242",
            "fax_number": "617-770-2975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2110 DORCHESTER AVE",
            "address_2": "STE 100",
            "city": "DORCHESTER CENTER",
            "state": "MA",
            "postal_code": "021245628",
            "telephone_number": "617-298-5300",
            "fax_number": "617-296-3028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-12",
        "last_updated": "2013-06-21",
        "status": "A",
        "authorized_official_last_name": "WASSON",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CLERK",
        "authorized_official_telephone_number": "617-472-5242",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "MA",
            "license": "6130",
            "primary": true
        },
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9711317",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Richard Downey
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• A James Epstein, MD
• Morteza Morey Farizan, M.D.
• Fidelito Gabriel DMD PC
• Comfort Fombu
• Jeffrey J. Fong, PHARM.D.
• Angela Marie Fonseca, LADCI CAS

• Eyewear Supplier in Dorchester Center, MA
• Providers in Dorchester Center, MA by specialty
• Eyewear Supplier in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2013; 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.