Organization Active NPI

Jayem Opticians Inc.

  • Optician
  • Waltham, MA
National Provider Identifier
1417195199
Registry record updated Feb 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
1859 Issued in MA
Legal business name
JAYEM OPTICIANS INC.
Doing business as
dba Waltham Community opticians
Practice address
362 Moody St
Waltham, MA 02453-5204
Phone
(781) 894-0081
NPI assigned
Feb 3, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2009

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

Authorized official

Name
Ms. Margaret G. Rice, R.D.O.NPI 1962598730
Title
Owner
Phone
(781) 894-0081

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OpticianGroup: 193400000X SINGLE SPECIALTY GROUP 156FX1800X 1859 MA Primary

Addresses

Primary practice location

362 Moody St
Waltham, MA 02453-5204

Mailing address

362 Moody St
Waltham, MA 02453-5204
Phone (781) 894-0081

Other identifiers 1

IdentifierTypeStateIssuer
1524518MedicaidMA

Other names 1

  • dba Waltham Community opticians Doing business as

National Provider Directory

National Provider Directory

Locations

362 Moody St
Waltham, MA 02453
Phone (781) 894-0081

Practitioners & affiliated clinicians

Practitioners 2

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": "1233619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233619200000",
    "number": "1417195199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "362 MOODY ST",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024535204",
            "telephone_number": "781-894-0081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "362 MOODY ST",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024535204",
            "telephone_number": "781-894-0081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAYEM OPTICIANS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-03",
        "last_updated": "2009-02-03",
        "status": "A",
        "authorized_official_last_name": "RICE",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "781-894-0081",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "R.D.O."
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "MA",
            "license": "1859",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1524518",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "dba Waltham Community opticians",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Waltham, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2009; 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.