Active NPI
Sanfilippo Eye Care PLLC
- Optometrist
- Gloucester, MA
National Provider Identifier
1376224287
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- SANFILIPPO EYE CARE PLLC
- Practice address
- 214 Eastern Ave Unit 8
Gloucester, MA 01930-1952 - Phone
- (508) 284-0230
- NPI assigned
- Jul 25, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lilyjean Sanfilippo, OD
- Title
- Owner
- Phone
- (508) 284-0230
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary |
Addresses
Primary practice location
214 Eastern Ave Unit 8
Gloucester, MA 01930-1952
Mailing address
214 Eastern Ave Unit 8
Gloucester, MA 01930-1952
Phone (508) 284-0230
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
214 Eastern Ave
Unit 8
Gloucester, MA 01930
Phone (508) 284-0230
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Gloucester, MA
- NPI 1205528734
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1690243200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1690243200000",
"number": "1376224287",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "214 EASTERN AVE UNIT 8",
"city": "GLOUCESTER",
"state": "MA",
"postal_code": "019301952",
"telephone_number": "508-284-0230"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "214 EASTERN AVE UNIT 8",
"city": "GLOUCESTER",
"state": "MA",
"postal_code": "019301952",
"telephone_number": "508-284-0230"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SANFILIPPO EYE CARE PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-07-25",
"last_updated": "2023-07-25",
"certification_date": "2023-07-25",
"status": "A",
"authorized_official_last_name": "SANFILIPPO",
"authorized_official_first_name": "LILYJEAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "508-284-0230",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gloucester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2023; 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.