NPIMap

Organization Active NPI

City Eye, LLC

Doing business as City Eye

  • Optometrist
  • Bellingham, MA
National Provider Identifier
1235729559
Registry record updated Oct 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
CITY EYE, LLC
Doing business as
City Eye
Practice address
249 Hartford Ave SPC A170
Bellingham, MA 02019-3007
Phone
(978) 208-2390
Fax
(978) 416-7504
NPI assigned
Jan 20, 2021
Last updated
Oct 11, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2024

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

Authorized official

Name
Monica Miller, ODNPI 1306485255
Title
Owner
Phone
(978) 208-2390

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
Optometrist 152W00000X NU Primary

Addresses

Primary practice location

249 Hartford Ave SPC A170
Bellingham, MA 02019-3007

Mailing address

249 Hartford Ave SPC A170
Bellingham, MA 02019-3007

Other practice location 1

850 Washington St
Middletown, CT 06457-2912
Phone (978) 208-2390

Other practice location 2

21 Torrey St Ste 21A
Brockton, MA 02301-4849
Phone (978) 208-2390

Other practice location 3

35 Talcottville Rd
Vernon, CT 06066-5261
Phone (978) 208-2390

Other names 1

  • City Eye Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, CT2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20210409001334 MA Part B Supplier - Clinic/Group Practice 5496163545 Receives reassigned benefits from 10 practitioners
Practice locations: Bellingham, MA; Boston, MA; Brockton, MA
O20230907001467 CT Part B Supplier - Clinic/Group Practice 5496163545 Receives reassigned benefits from 9 practitioners
Practice locations: Middletown, CT; Vernon, CT

National Provider Directory

National Provider Directory

Locations

850 Washington St
Middletown, CT 06457
Phone (860) 347-4664

249 Hartford Ave
Spc A170
Bellingham, MA 02019
Phone (774) 295-2018

450 Washington St
Boston, MA 02111
Phone (617) 988-0607

21 Torrey St
Ste 21A
Brockton, MA 02301
Phone (508) 587-8344

Practitioners & affiliated clinicians

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1611100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728604800000",
    "number": "1235729559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "249 HARTFORD AVE SPC A170",
            "city": "BELLINGHAM",
            "state": "MA",
            "postal_code": "020193007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "249 HARTFORD AVE SPC A170",
            "city": "BELLINGHAM",
            "state": "MA",
            "postal_code": "020193007",
            "telephone_number": "978-208-2390",
            "fax_number": "978-416-7504"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "850 Washington St",
            "address_purpose": "LOCATION",
            "city": "Middletown",
            "state": "CT",
            "postal_code": "064572912",
            "country_code": "US",
            "telephone_number": "978-208-2390",
            "fax_number": "978-416-7504",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "21 Torrey St Ste 21A",
            "address_purpose": "LOCATION",
            "city": "Brockton",
            "state": "MA",
            "postal_code": "023014849",
            "country_code": "US",
            "telephone_number": "978-208-2390",
            "fax_number": "978-416-7504",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "35 Talcottville Rd",
            "address_purpose": "LOCATION",
            "city": "Vernon",
            "state": "CT",
            "postal_code": "060665261",
            "country_code": "US",
            "telephone_number": "978-208-2390",
            "fax_number": "978-416-7504",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CITY EYE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-20",
        "last_updated": "2024-10-11",
        "certification_date": "2024-10-11",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "MONICA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "978-208-2390",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "City Eye",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "City Eye",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bellingham, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2024; 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.