NPIMap

Organization Active NPI

Wakefield Eye Associates

  • Eyewear Supplier
  • Wakefield, MA
National Provider Identifier
1356529424
Registry record updated Jun 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
3489 Issued in MA
Legal business name
WAKEFIELD EYE ASSOCIATES
Practice address
336 Main St
Wakefield, MA 01880-5013
Phone
(781) 245-6667
Fax
(781) 245-8011
NPI assigned
Jan 31, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2008

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

Authorized official

Name
Alan D Beaulieu, ODNPI 1760451116
Title
Optometrist
Phone
(781) 245-6667

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X 3489 MA Primary

Addresses

Primary practice location

336 Main St
Wakefield, MA 01880-5013

Mailing address

336 Main St
Wakefield, MA 01880-5013
Phone (781) 245-6667

Other identifiers 1

IdentifierTypeStateIssuer
0356034MedicaidMA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1201737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213833600000",
    "number": "1356529424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "336 MAIN ST",
            "city": "WAKEFIELD",
            "state": "MA",
            "postal_code": "018805013",
            "telephone_number": "781-245-6667",
            "fax_number": "781-245-8011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "336 MAIN ST",
            "city": "WAKEFIELD",
            "state": "MA",
            "postal_code": "018805013",
            "telephone_number": "781-245-6667",
            "fax_number": "781-245-8011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAKEFIELD EYE ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-31",
        "last_updated": "2008-06-19",
        "status": "A",
        "authorized_official_last_name": "BEAULIEU",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "781-245-6667",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "MA",
            "license": "3489",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0356034",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wakefield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2008; 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.