Organization Active NPI

Worcester Ophthalmology Associates, Inc

  • Ophthalmology Physician
  • Worcester, MA
National Provider Identifier
1417660010
Registry record updated Dec 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
WORCESTER OPHTHALMOLOGY ASSOCIATES, INC
Practice address
25 Oak Ave
Worcester, MA 01605-2751
Phone
(508) 421-2010
NPI assigned
Dec 29, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2022

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

Authorized official

Name
Susan Begley
Title
Practice Administrator
Phone
(508) 421-2010

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

25 Oak Ave
Worcester, MA 01605-2751

Mailing address

25 Oak Ave
Worcester, MA 01605-2751
Phone (508) 421-2010

Other identifiers 2

IdentifierTypeStateIssuer
M13156OtherMAMEDICARE
9718885MedicaidMA

Other names 1

  • Worcester Ophthalmology Associates, Inc Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1672272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672272000000",
    "number": "1417660010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 OAK AVE",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016052751",
            "telephone_number": "508-421-2010",
            "fax_number": "508-795-6908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 OAK AVE",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016052751",
            "telephone_number": "508-421-2010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WORCESTER OPHTHALMOLOGY ASSOCIATES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-29",
        "last_updated": "2022-12-29",
        "certification_date": "2022-12-29",
        "status": "A",
        "authorized_official_last_name": "BEGLEY",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "508-421-2010"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "M13156",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9718885",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Worcester Ophthalmology Associates, Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Worcester, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2022; 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.