Organization Active NPI

Sudbury Vision Associates,Inc.

Doing business as Pearle Vision

  • Optometrist
  • Sudbury, MA
National Provider Identifier
1427270743
Registry record updated Dec 4, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
MA3144 Issued in MA
Legal business name
SUDBURY VISION ASSOCIATES,INC.
Doing business as
Pearle Vision
Practice address
435 Boston Post Rd
1 Sudbury Crossing
Sudbury, MA 01776-3000
Phone
(978) 443-7121
Fax
(978) 443-0893
NPI assigned
May 3, 2007
Last updated
Dec 4, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2007

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

Authorized official

Name
Dr. Harold F Curtin III, O.D.NPI 1346335817
Title
President
Phone
(978) 443-7121

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
Optometrist 152W00000X MA3144 MA Primary

Addresses

Primary practice location

435 Boston Post Rd
1 Sudbury Crossing
Sudbury, MA 01776-3000

Mailing address

435 Boston Post Rd
1 Sudbury Crossing
Sudbury, MA 01776-3000
Phone (978) 443-7121

Other identifiers 1

IdentifierTypeStateIssuer
9752803MedicaidMA

Other names 1

  • Pearle Vision Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071112000252 MA Part B Supplier - Clinic/Group Practice 3870681745 Receives reassigned benefits from 2 practitioners
Practice locations: Sudbury, MA

National Provider Directory

National Provider Directory
Tax ID family
Pearle Vision2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

435 Boston Post Rd
Sudbury, MA 01776
Phone (978) 443-7121

435 Boston Post Rd
Ste 1
Sudbury, MA 01776
Phone (978) 443-7121

440 Middlesex Rd
Tyngsboro, MA 01879
Phone (978) 649-3880

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196726400000",
    "number": "1427270743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 BOSTON POST RD",
            "address_2": "1 SUDBURY CROSSING",
            "city": "SUDBURY",
            "state": "MA",
            "postal_code": "017763000",
            "telephone_number": "978-443-7121",
            "fax_number": "978-443-0893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 BOSTON POST RD",
            "address_2": "1 SUDBURY CROSSING",
            "city": "SUDBURY",
            "state": "MA",
            "postal_code": "017763000",
            "telephone_number": "978-443-7121",
            "fax_number": "978-443-0893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUDBURY VISION ASSOCIATES,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2007-12-04",
        "status": "A",
        "authorized_official_last_name": "CURTIN",
        "authorized_official_first_name": "HAROLD",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "978-443-7121",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "MA3144",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9752803",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pearle Vision",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sudbury, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.