Organization Active NPI

Worcester Eye Consultants, PC

  • Ophthalmology Physician
  • Worcester, MA
National Provider Identifier
1366434425
Registry record updated Nov 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
WORCESTER EYE CONSULTANTS, PC
Practice address
33 Lancaster St
Worcester, MA 01609-2615
Phone
(508) 791-8484
NPI assigned
Aug 16, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2010

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

Authorized official

Name
Maureen T Zacharia
Title
Billing Manager
Phone
(508) 791-8484

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

33 Lancaster St
Worcester, MA 01609-2615

Mailing address

33 Lancaster St
Worcester, MA 01609-2615
Phone (508) 791-8484

Other identifiers 7

IdentifierTypeStateIssuer
93087OtherMAFALLON GROUP ID
96629101OtherMANETWORK HEALTH GROUP ID
0801744OtherMAEVERCARE GROUP ID
637388OtherMATUFTS GROUP PROVIDER ID
9763601MedicaidMA
KG66OtherMAHARVARD PIGRIM HEALTH CAR
M18982OtherMABLUE SHIELD GROUP ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050601000932 MA Part B Supplier - Clinic/Group Practice 0840232724 Receives reassigned benefits from 1 practitioner
Practice locations: Worcester, MA

National Provider Directory

National Provider Directory

Locations

33 Lancaster St
Worcester, MA 01609
Phone (508) 791-8484

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": "1124150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289174400000",
    "number": "1366434425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 LANCASTER ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016092615",
            "telephone_number": "508-791-8484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 LANCASTER ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016092615",
            "telephone_number": "508-791-8484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WORCESTER EYE CONSULTANTS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-16",
        "last_updated": "2010-11-08",
        "status": "A",
        "authorized_official_last_name": "ZACHARIA",
        "authorized_official_first_name": "MAUREEN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "508-791-8484"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FALLON GROUP ID",
            "identifier": "93087",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NETWORK HEALTH GROUP ID",
            "identifier": "96629101",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EVERCARE GROUP ID",
            "identifier": "0801744",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS GROUP PROVIDER ID",
            "identifier": "637388",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9763601",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PIGRIM HEALTH CAR",
            "identifier": "KG66",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD GROUP ID",
            "identifier": "M18982",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Worcester, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.