NPIMap

Organization Active NPI

Associated Eye Surgeons

  • Ophthalmology Physician
  • Plymouth, MA
National Provider Identifier
1255839486
Registry record updated May 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
ASSOCIATED EYE SURGEONS
Practice address
45 Resnik Rd Ste 301
Plymouth, MA 02360-4883
Phone
(508) 747-4748
Fax
(508) 747-0124
NPI assigned
Jan 23, 2018
Organization subpart
No

Practitioners 8

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

National Provider Directory

National Provider Directory
Tax ID family
Associated Eye Surgeons2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

45 Resnik Rd
Ste 301
Plymouth, MA 02360
Phone (508) 747-4748

NPPES NPI Registry

Updated by the provider on May 20, 2020

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

Authorized official

Name
Emmanuel Gabriel
Title
Office Manager
Phone
(508) 747-4748

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

45 Resnik Rd Ste 301
Plymouth, MA 02360-4883

Mailing address

45 Resnik Rd Ste 301
Plymouth, MA 02360-4883
Phone (508) 747-4748

Other practice location 1

441 Route 130
Sandwich, MA 02563-2340
Phone (508) 888-8873

Other identifiers 2

IdentifierTypeStateIssuer
M20126OtherMAMEDICARE UPIN
1100091270MedicaidMA

NPI Registry JSON

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

{
    "created_epoch": "1516665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589932800000",
    "number": "1255839486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 RESNIK RD STE 301",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023604883",
            "telephone_number": "508-747-4748",
            "fax_number": "508-747-0124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 RESNIK RD STE 301",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023604883",
            "telephone_number": "508-747-4748",
            "fax_number": "508-747-0124"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "441 Route 130",
            "address_purpose": "LOCATION",
            "city": "Sandwich",
            "state": "MA",
            "postal_code": "025632340",
            "country_code": "US",
            "telephone_number": "508-888-8873",
            "fax_number": "508-747-0124",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ASSOCIATED EYE SURGEONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-23",
        "last_updated": "2020-05-20",
        "certification_date": "2020-05-20",
        "status": "A",
        "authorized_official_last_name": "GABRIEL",
        "authorized_official_first_name": "EMMANUEL",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "508-747-4748"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE UPIN",
            "identifier": "M20126",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1100091270",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2020; 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.