Organization Active NPI

P.J.See Inc.

  • Eyewear Supplier
  • Brockton, MA
National Provider Identifier
1336339407
Registry record updated Jul 25, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
4938 Issued in MA
Legal business name
P.J.SEE INC.
Practice address
516 Westgate Dr
Brockton, MA 02301-1816
Phone
(508) 586-4435
NPI assigned
Jul 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2007

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

Authorized official

Name
Mrs. Pamela J Carroll, L.D.O.
Title
Owner
Phone
(508) 586-4435

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X 4938 MA Primary

Addresses

Primary practice location

516 Westgate Dr
Brockton, MA 02301-1816

Mailing address

516 Westgate Dr
Brockton, MA 02301-1816
Phone (508) 586-4435

Other identifiers 1

IdentifierTypeStateIssuer
1519522MedicaidMA

Other names 1

  • pearle vision Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1185321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185321600000",
    "number": "1336339407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516 WESTGATE DR",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023011816",
            "telephone_number": "508-586-4435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 WESTGATE DR",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023011816",
            "telephone_number": "508-586-4435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "P.J.SEE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-25",
        "last_updated": "2007-07-25",
        "status": "A",
        "authorized_official_last_name": "CARROLL",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "508-586-4435",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "L.D.O."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "MA",
            "license": "4938",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1519522",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "pearle vision",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brockton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2007; 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.