NPIMap

Organization Active NPI

Hyatt Eyewear

  • Optometrist
  • Foxborough, MA
National Provider Identifier
1376952382
Registry record updated Aug 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
MA-TA 4734 Issued in MA
Legal business name
HYATT EYEWEAR
Practice address
92 Spruce St
Foxborough, MA 02035-2729
Phone
(617) 797-5981
NPI assigned
Aug 5, 2014
Last updated
Aug 5, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2014

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

Authorized official

Name
Dr. Lesa Dennis-Mahamed, O.D.
Title
President/Ceo
Phone
(617) 797-5981

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X MA-TA 4734 MA Primary

Addresses

Primary practice location

92 Spruce St
Foxborough, MA 02035-2729

Mailing address

92 Spruce St
Foxborough, MA 02035-2729
Phone (617) 797-5981

Other identifiers 1

IdentifierTypeStateIssuer
110083858AMedicaidMA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1407196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407196800000",
    "number": "1376952382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "92 SPRUCE ST",
            "city": "FOXBOROUGH",
            "state": "MA",
            "postal_code": "020352729",
            "telephone_number": "617-797-5981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "92 SPRUCE ST",
            "city": "FOXBOROUGH",
            "state": "MA",
            "postal_code": "020352729",
            "telephone_number": "617-797-5981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HYATT EYEWEAR",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-05",
        "last_updated": "2014-08-05",
        "status": "A",
        "authorized_official_last_name": "DENNIS-MAHAMED",
        "authorized_official_first_name": "LESA",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "617-797-5981",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "MA-TA 4734",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110083858A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Foxborough, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2014; 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.