Oculoplastics, LLC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

78030 Issued in MA

Legal business name

OCULOPLASTICS, LLC

Practice address

275 Bicentennial Hwy
Suite 101
Springfield, MA 01118-1900

Phone

(413) 783-3100

Fax

(413) 782-7998

NPI assigned

Oct 20, 2010

Organization subpart

No

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

Authorized official

Name

Raymond Magauran, MD

Title

Owner

Phone

(774) 722-0582

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1287532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430870400000",
    "number": "1265742522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60751",
            "city": "LONGMEADOW",
            "state": "MA",
            "postal_code": "011160751",
            "telephone_number": "413-783-3100",
            "fax_number": "413-782-7998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 BICENTENNIAL HWY",
            "address_2": "SUITE 101",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011181900",
            "telephone_number": "413-783-3100",
            "fax_number": "413-782-7998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCULOPLASTICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-20",
        "last_updated": "2015-05-06",
        "status": "A",
        "authorized_official_last_name": "MAGAURAN",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "774-722-0582",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "MA",
            "license": "78030",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9713191",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Occupational Health Centers of the Southwest P.a.
• Karina Ochoa Regalado
• Juliet Ochoa
• Jeffrey J. Ochs, M.D.
• Raul Octaviani, M.D.
• Isaiah Odean
• Marsha Kay Odell
• Gregory S Odierna, DMD
• Bonnie Odonnell, MSW
• Akinniyi Babasola Odutola, M.D.

• Ophthalmology Physician in Springfield, MA
• Providers in Springfield, MA by specialty
• Ophthalmology Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2015; 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.