Active NPI
Ralph H Hinckley, MD
- Ophthalmology Physician
- Newton, MA
National Provider Identifier
1275629230
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 25555
- Practice address
- 2000 Washington St
White 548
Newton, MA 02462-1650 - Phone
- (617) 796-3937
- Fax
- (617) 796-3938
- NPI assigned
- Oct 5, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 25555 | MA | Primary |
Addresses
Primary practice location
2000 Washington St
White 548
Newton, MA 02462-1650
Mailing address
2000 Washington St
White 548
Newton, MA 02462-1650
Phone (617) 796-3937
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0197661 | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25555 | MA | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Vision Consultants, LLC | Ophthalmology | Current | Accepting new patients |
Locations
40 Walnut St
Ste 101
Wellesley Hills, MA 02481
Phone (617) 796-3937
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Ophthalmology Physician
- Wellesley, MA
- NPI 1477700854
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1330041600000",
"number": "1275629230",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2000 WASHINGTON ST",
"address_2": "WHITE 548",
"city": "NEWTON",
"state": "MA",
"postal_code": "024621650",
"telephone_number": "617-796-3937",
"fax_number": "617-796-3938"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 WASHINGTON ST",
"address_2": "WHITE 548",
"city": "NEWTON",
"state": "MA",
"postal_code": "024621650",
"telephone_number": "617-796-3937",
"fax_number": "617-796-3938"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HINCKLEY",
"first_name": "RALPH",
"middle_name": "H",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-05",
"last_updated": "2012-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "MA",
"license": "25555",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0197661",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Newton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.