Active NPI
William Henry Livingston, O.D.
- Optometrist
- Newtonville, MA
National Provider Identifier
1295812394
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2719
- Practice address
- 336 Walnut St
Newtonville, MA 02460-1923 - Phone
- (617) 964-9666
- Fax
- (617) 964-3380
- NPI assigned
- Nov 1, 2006
- Last updated
- Nov 17, 2008
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2719 | MA | Primary |
Addresses
Primary practice location
336 Walnut St
Newtonville, MA 02460-1923
Mailing address
18 Cypress St
Marblehead, MA 01945-1926
Phone (781) 639-0090
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 37962 | Other | MA | DAVIS VISION |
| 460314 | Other | MA | TUFTS |
| LIW15558 | Other | MA | BLUE CROSS BLUE SHIELD |
| 0335118 | Medicaid | MA | |
| 600000009 | Other | MA | HARVARD PILGRIM |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2719 | MA | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1226880000000",
"number": "1295812394",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18 CYPRESS ST",
"city": "MARBLEHEAD",
"state": "MA",
"postal_code": "019451926",
"telephone_number": "781-639-0090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "336 WALNUT ST",
"city": "NEWTONVILLE",
"state": "MA",
"postal_code": "024601923",
"telephone_number": "617-964-9666",
"fax_number": "617-964-3380"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIVINGSTON",
"first_name": "WILLIAM",
"middle_name": "HENRY",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-01",
"last_updated": "2008-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MA",
"license": "2719",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DAVIS VISION",
"identifier": "37962",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS",
"identifier": "460314",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "LIW15558",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0335118",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM",
"identifier": "600000009",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Newtonville, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.