Organization Active NPI

North Shore Eye Group, P.C.

  • Ophthalmology Physician
  • Salem, MA
National Provider Identifier
1356596662
Registry record updated Dec 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
NORTH SHORE EYE GROUP, P.C.
Practice address
79 Highland Ave Ste 101
Salem, MA 01970-2730
Phone
(978) 744-1900
Fax
(978) 744-3333
NPI assigned
Dec 1, 2008
Last updated
Dec 1, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2008

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

Authorized official

Name
Dr. Richard Carl Rodman, M.D.
Title
President
Phone
(978) 744-1900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X NU Primary

Addresses

Primary practice location

79 Highland Ave Ste 101
Salem, MA 01970-2730

Mailing address

79 Highland Ave Ste 101
Salem, MA 01970-2730
Phone (978) 744-1900

National Provider Directory

National Provider Directory

Locations

79 Highland Ave
Salem, MA 01970
Phone (978) 744-1900

79 Highland Ave
Ste 101
Salem, MA 01970
Phone (978) 744-1900

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1228089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228089600000",
    "number": "1356596662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79 HIGHLAND AVE STE 101",
            "city": "SALEM",
            "state": "MA",
            "postal_code": "019702730",
            "telephone_number": "978-744-1900",
            "fax_number": "978-744-3333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79 HIGHLAND AVE STE 101",
            "city": "SALEM",
            "state": "MA",
            "postal_code": "019702730",
            "telephone_number": "978-744-1900",
            "fax_number": "978-744-3333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH SHORE EYE GROUP, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-01",
        "last_updated": "2008-12-01",
        "status": "A",
        "authorized_official_last_name": "RODMAN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "CARL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "978-744-1900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, MA

Sources for this page

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