Active NPI
Jeffrey A Mann, OPTICIAN
- Optician
- Newton Highlands, MA
National Provider Identifier
1366551061
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- 1546
- Practice address
- 33 Lincoln St
Newton Highlands, MA 02461-1526 - Phone
- (617) 332-2664
- NPI assigned
- Aug 29, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | 1546 | MA | Primary |
Addresses
Primary practice location
33 Lincoln St
Newton Highlands, MA 02461-1526
Mailing address
33 Lincoln Street
Newton Highlands, MA 02461
Phone (617) 332-2664
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1546 | MA | MD | Optician |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1366551061",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33 LINCOLN STREET",
"city": "NEWTON HIGHLANDS",
"state": "MA",
"postal_code": "02461",
"telephone_number": "617-332-2664"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33 LINCOLN ST",
"city": "NEWTON HIGHLANDS",
"state": "MA",
"postal_code": "024611526",
"telephone_number": "617-332-2664"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANN",
"first_name": "JEFFREY",
"middle_name": "A",
"credential": "OPTICIAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "MA",
"license": "1546",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newton Highlands, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.