NPIMap

Organization Active NPI

Saugus Eye Group, Inc.

  • Optometrist
  • Saugus, MA
National Provider Identifier
1336559921
Registry record updated May 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4635 Issued in MA
Legal business name
SAUGUS EYE GROUP, INC.
Practice address
739 Broadway
Pearle Vision
Saugus, MA 01906-3207
Phone
(781) 231-1097
NPI assigned
May 5, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2014

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

Authorized official

Name
Dr. Alex Russakovsky, O.D.
Title
President
Phone
(617) 285-4575

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 4635 MA Primary

Addresses

Primary practice location

739 Broadway
Pearle Vision
Saugus, MA 01906-3207

Mailing address

22 McGrath Hwy # 4
Pearle Vision
Somerville, MA 02143-4508
Phone (617) 285-4575

National Provider Directory

National Provider Directory

Locations

22 McGrath Hwy
Ste 4
Somerville, MA 02143

NPI Registry JSON

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

{
    "created_epoch": "1399248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399248000000",
    "number": "1336559921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 MCGRATH HWY # 4",
            "address_2": "PEARLE VISION",
            "city": "SOMERVILLE",
            "state": "MA",
            "postal_code": "021434508",
            "telephone_number": "617-285-4575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "739 BROADWAY",
            "address_2": "PEARLE VISION",
            "city": "SAUGUS",
            "state": "MA",
            "postal_code": "019063207",
            "telephone_number": "781-231-1097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAUGUS EYE GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-05",
        "last_updated": "2014-05-05",
        "status": "A",
        "authorized_official_last_name": "RUSSAKOVSKY",
        "authorized_official_first_name": "ALEX",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "617-285-4575",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MA",
            "license": "4635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saugus, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2014; 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.