NPIMap

Organization Active NPI

Essex Optical Corporation

  • Eyewear Supplier
  • Beverly, MA
National Provider Identifier
1326135013
Registry record updated Apr 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
1881 Issued in MA
Legal business name
ESSEX OPTICAL CORPORATION
Doing business as
Parrelli Optical
Practice address
40 Enon St
Beverly, MA 01915-1168
Phone
(978) 922-5996
Fax
(978) 922-5997
NPI assigned
Oct 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2011

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

Authorized official

Name
Mr. Jeffrey Stewart Bird, RDO
Title
President
Phone
(978) 922-5996

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Contact Lens FitterGroup: 193200000X MULTI-SPECIALTY GROUP 156FC0801X 1881 MA
OpticianGroup: 193200000X MULTI-SPECIALTY GROUP 156FX1800X 1881 MA
Eyewear Supplier 332H00000X 1881 MA Primary

Addresses

Primary practice location

40 Enon St
Beverly, MA 01915-1168

Mailing address

40 Enon St
Beverly, MA 01915-1168
Phone (978) 922-5996

Other identifiers 1

IdentifierTypeStateIssuer
MA1535382MedicaidMA

Other names 1

  • Parrelli Optical Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Essex Optical Corporation2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301616000000",
    "number": "1326135013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 ENON ST",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019151168",
            "telephone_number": "978-922-5996",
            "fax_number": "978-922-5997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 ENON ST",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019151168",
            "telephone_number": "978-922-5996",
            "fax_number": "978-922-5997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESSEX OPTICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-06",
        "last_updated": "2011-04-01",
        "status": "A",
        "authorized_official_last_name": "BIRD",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "STEWART",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "978-922-5996",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RDO"
    },
    "taxonomies": [
        {
            "code": "156FC0801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician/Technologist, Contact Lens Fitter",
            "state": "MA",
            "license": "1881",
            "primary": false
        },
        {
            "code": "156FX1800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "MA",
            "license": "1881",
            "primary": false
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "MA",
            "license": "1881",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MA1535382",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Parrelli Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Beverly, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2011; 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.