Organization Active NPI

Emil Horowitz, O.D., PC

  • Optometrist
  • West Roxbury, MA
National Provider Identifier
1407039100
Registry record updated Mar 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2668 Issued in MA
Legal business name
EMIL HOROWITZ, O.D., PC
Doing business as
Mass Bay Eye Associates
Practice address
1530 VFW Pkwy
West Roxbury, MA 02132-5500
Phone
(617) 327-2200
Fax
(617) 327-3700
NPI assigned
Dec 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2008

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

Authorized official

Name
Dr. Emil R Horowitz, O.D.
Title
Principle
Phone
(617) 327-2200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 2668 MA Primary

Addresses

Primary practice location

1530 VFW Pkwy
West Roxbury, MA 02132-5500

Mailing address

1530 VFW Pkwy
West Roxbury, MA 02132-5500
Phone (617) 327-2200

Other identifiers 1

IdentifierTypeStateIssuer
0334545MedicaidMA

Other names 1

  • Mass Bay Eye Associates Doing business as

National Provider Directory

National Provider Directory

Locations

1530 Vfw Pkwy
West Roxbury, MA 02132
Phone (617) 327-2200

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1197849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205107200000",
    "number": "1407039100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1530 VFW PKWY",
            "city": "WEST ROXBURY",
            "state": "MA",
            "postal_code": "021325500",
            "telephone_number": "617-327-2200",
            "fax_number": "617-327-3700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 VFW PKWY",
            "city": "WEST ROXBURY",
            "state": "MA",
            "postal_code": "021325500",
            "telephone_number": "617-327-2200",
            "fax_number": "617-327-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMIL HOROWITZ, O.D., PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-17",
        "last_updated": "2008-03-10",
        "status": "A",
        "authorized_official_last_name": "HOROWITZ",
        "authorized_official_first_name": "EMIL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRINCIPLE",
        "authorized_official_telephone_number": "617-327-2200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MA",
            "license": "2668",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0334545",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mass Bay Eye Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Roxbury, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2008; 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.