NPIMap

Organization Active NPI

Dr. Domenic a. D'Angelo and Associates

  • Optometrist
  • Saugus, MA
National Provider Identifier
1235320698
Registry record updated Aug 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3223 Issued in MA
Legal business name
DR. DOMENIC A. D'ANGELO AND ASSOCIATES
Practice address
171 Broadway Rte 1 S
Saugus, MA 01906
Phone
(781) 231-2330
Fax
(781) 231-1235
NPI assigned
Aug 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2007

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

Authorized official

Name
Dr. Domenic A. D'Angelo, O.D.NPI 1356401871
Title
Owner
Phone
(781) 231-2330

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 3223 MA Primary

Addresses

Primary practice location

171 Broadway Rte 1 S
Saugus, MA 01906

Mailing address

171 Broadway Rte 1 S
Saugus, MA 01906
Phone (781) 231-2330

National Provider Directory

National Provider Directory

Locations

171 Broadway
#1S
Saugus, MA 01906
Phone (617) 231-2330

Practitioners & affiliated clinicians

Practitioners 1

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": "1186617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186617600000",
    "number": "1235320698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "171 BROADWAY RTE 1 S",
            "city": "SAUGUS",
            "state": "MA",
            "postal_code": "01906",
            "telephone_number": "781-231-2330",
            "fax_number": "781-231-1235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "171 BROADWAY RTE 1 S",
            "city": "SAUGUS",
            "state": "MA",
            "postal_code": "01906",
            "telephone_number": "781-231-2330",
            "fax_number": "781-231-1235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. DOMENIC A. D'ANGELO AND ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-09",
        "last_updated": "2007-08-09",
        "status": "A",
        "authorized_official_last_name": "D'ANGELO",
        "authorized_official_first_name": "DOMENIC",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "781-231-2330",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MA",
            "license": "3223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saugus, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2007; 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.