Organization Active NPI

Danvers Vision Center Inc.

  • Durable Medical Equipment & Medical Supplies
  • Peabody, MA
National Provider Identifier
1366528283
Registry record updated Oct 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
1750 Issued in MA
Legal business name
DANVERS VISION CENTER INC.
Practice address
29 Centennial Dr
Peabody, MA 01960-7901
Phone
(978) 538-7500
Fax
(978) 532-0255
NPI assigned
Oct 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2018

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

Authorized official

Name
Jeffrey Sorkin, MD
Title
Owner
Phone
(978) 531-4400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 1750 MA Primary

Addresses

Primary practice location

29 Centennial Dr
Peabody, MA 01960-7901

Mailing address

29 Centennial Dr
Peabody, MA 01960-7901
Phone (978) 538-7500

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930027809 MA DME Supplier - Optician 3779603519 Practice locations: Peabody, MA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Danvers Vision Center29 Centennial Dr, Peabody, MA 01960-7901(978) 538-7500 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Prosthetics Cataract Lenses Does not accept assignmentParticipating since Jan 1, 1998

National Provider Directory

National Provider Directory

Locations

29 Centennial Dr
Peabody, MA 01960
Phone (978) 538-7500

NPI Registry JSON

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539734400000",
    "number": "1366528283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 CENTENNIAL DR",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019607901",
            "telephone_number": "978-538-7500",
            "fax_number": "978-532-0255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 CENTENNIAL DR",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019607901",
            "telephone_number": "978-538-7500",
            "fax_number": "978-532-0255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANVERS VISION CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-31",
        "last_updated": "2018-10-17",
        "status": "A",
        "authorized_official_last_name": "SORKIN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "978-531-4400",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MA",
            "license": "1750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peabody, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.