Organization Active NPI

Edward Eye Associates LLC

  • Optometrist
  • Watertown, MA
National Provider Identifier
1265097935
Registry record updated Jul 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
EDWARD EYE ASSOCIATES LLC
Practice address
550 Arsenal St
Watertown, MA 02472-2853
Phone
(617) 923-6054
Fax
(857) 400-0712
NPI assigned
May 7, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2024

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

Authorized official

Name
Hannah Edward, ODNPI 1447741962
Title
Optometrist
Phone
(617) 934-9314

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 Primary

Addresses

Primary practice location

550 Arsenal St
Watertown, MA 02472-2853

Mailing address

550 Arsenal St
Watertown, MA 02472-2853
Phone (617) 934-9314

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190708001763 MA Part B Supplier - Clinic/Group Practice 1052646460 Receives reassigned benefits from 1 practitioner
Practice locations: Watertown, MA

National Provider Directory

National Provider Directory

Locations

1 White St
Cambridge, MA 02140
Phone (617) 864-7005

550 Arsenal St
Watertown, MA 02472
Phone (617) 744-3150

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": "1557187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722384000000",
    "number": "1265097935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 ARSENAL ST",
            "city": "WATERTOWN",
            "state": "MA",
            "postal_code": "024722853",
            "telephone_number": "617-934-9314",
            "fax_number": "857-400-0712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 ARSENAL ST",
            "city": "WATERTOWN",
            "state": "MA",
            "postal_code": "024722853",
            "telephone_number": "617-923-6054",
            "fax_number": "857-400-0712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD EYE ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-07",
        "last_updated": "2024-07-31",
        "certification_date": "2024-07-31",
        "status": "A",
        "authorized_official_last_name": "EDWARD",
        "authorized_official_first_name": "HANNAH",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "617-934-9314",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Watertown, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 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.