Organization Active NPI

Aspen Enterprises, Inc.

Doing business as Springfield Optometric Associates

  • Optometrist
  • Springfield, MA
National Provider Identifier
1326123688
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2217 Issued in MA
Legal business name
ASPEN ENTERPRISES, INC.
Doing business as
Springfield Optometric Associates
Practice address
1268 Sumner Ave
Springfield, MA 01118-1770
Phone
(413) 782-5339
NPI assigned
Oct 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. George A Fleisher, OD
Title
President
Phone
(413) 782-5339

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 2217 MA Primary

Addresses

Primary practice location

1268 Sumner Ave
Springfield, MA 01118-1770

Mailing address

1268 Sumner Ave
Springfield, MA 01118-1770
Phone (413) 782-5339

Other identifiers 1

IdentifierTypeStateIssuer
9758321MedicaidMA

Other names 1

  • Springfield Optometric Associates Doing business as

National Provider Directory

National Provider Directory

Locations

1268 Sumner Ave
Ste 5
Springfield, MA 01118
Phone (413) 782-5339

1268 Sumner Ave
Springfield, MA 01118
Phone (413) 782-5339

Practitioners & affiliated clinicians

Practitioners 4

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": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1326123688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1268 SUMNER AVE",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011181770",
            "telephone_number": "413-782-5339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1268 SUMNER AVE",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011181770",
            "telephone_number": "413-782-5339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASPEN ENTERPRISES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FLEISHER",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "413-782-5339",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MA",
            "license": "2217",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9758321",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Springfield Optometric Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Springfield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.