Organization Active NPI

Eye Health Services,Inc.

  • Eyewear Supplier
  • Plymouth, MA
National Provider Identifier
1295894244
Registry record updated Jun 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
EYE HEALTH SERVICES,INC.
Practice address
32 Resnik Rd
Ste 2
Plymouth, MA 02360-7255
Phone
(508) 732-9269
Fax
(508) 732-9250
NPI assigned
Dec 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2013

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

Authorized official

Name
Dr. Paul J Wasson, M.D.
Title
Clerk
Phone
(617) 472-5242

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OpticianGroup: 193200000X MULTI-SPECIALTY GROUP 156FX1800X 5103 MA
Eyewear Supplier 332H00000X Primary

Addresses

Primary practice location

32 Resnik Rd
Ste 2
Plymouth, MA 02360-7255

Mailing address

1900 Crown Colony Drive
Ste 301
Quincy, MA 02169-0931
Phone (617) 472-5242

Other identifiers 1

IdentifierTypeStateIssuer
9711317MedicaidMA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371772800000",
    "number": "1295894244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 CROWN COLONY DRIVE",
            "address_2": "STE 301",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021690931",
            "telephone_number": "617-472-5242",
            "fax_number": "617-770-2975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 RESNIK RD",
            "address_2": "STE 2",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023607255",
            "telephone_number": "508-732-9269",
            "fax_number": "508-732-9250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE HEALTH SERVICES,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-06",
        "last_updated": "2013-06-21",
        "status": "A",
        "authorized_official_last_name": "WASSON",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CLERK",
        "authorized_official_telephone_number": "617-472-5242",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "MA",
            "license": "5103",
            "primary": false
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9711317",
            "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 Jun 21, 2013; 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.