Active NPI
P.J.See Inc.
- Eyewear Supplier
- Brockton, MA
National Provider Identifier
1336339407
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Eyewear Supplier
- License
- 4938
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1519522 | Medicaid | MA |
Other names 1
- pearle vision
National Provider Directory
National Provider DirectoryNPI 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.