NPIMap

Organization Active NPI

Melissa Thurber, O.D. LLC

  • Optometrist
  • Quincy, MA
National Provider Identifier
1376750448
Registry record updated Aug 20, 2007
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Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4568 Issued in MA
Legal business name
MELISSA THURBER, O.D. LLC
Practice address
301 Falls Blvd
Quincy, MA 02169-8160
Phone
(617) 472-2167
NPI assigned
May 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2007

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

Authorized official

Name
Dr. Melissa Doucette, O.D.
Title
Owner
Phone
(617) 527-2154

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 4568 MA Primary

Addresses

Primary practice location

301 Falls Blvd
Quincy, MA 02169-8160

Mailing address

22 Faxon St
Newton, MA 02458-1013
Phone (617) 527-2154

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187568000000",
    "number": "1376750448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 FAXON ST",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024581013",
            "telephone_number": "617-527-2154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 FALLS BLVD",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021698160",
            "telephone_number": "617-472-2167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELISSA THURBER, O.D. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2007-08-20",
        "status": "A",
        "authorized_official_last_name": "DOUCETTE",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-527-2154",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MA",
            "license": "4568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Quincy, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 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.

Verify at the official NPI Registry.