Organization Active NPI

Sudbury Eye Care, PLLC

Doing business as Sudbury Eye Care

  • Optometrist
  • Sudbury, MA
National Provider Identifier
1427351295
Registry record updated Jan 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4334 Issued in MA
Legal business name
SUDBURY EYE CARE, PLLC
Doing business as
Sudbury Eye Care
Practice address
344 Boston Post Road
Sudbury, MA 01776-3058
Phone
(978) 443-3021
NPI assigned
Dec 16, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2015

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

Authorized official

Name
Dr. Lorraine Labiento Smith, ODNPI 1659497782
Title
Owner
Phone
(978) 443-3021

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
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 4334 MA Primary

Addresses

Primary practice location

344 Boston Post Road
Sudbury, MA 01776-3058

Mailing address

344 Boston Post Road
Sudbury, MA 01776-3058
Phone (978) 443-3021

Other identifiers 2

IdentifierTypeStateIssuer
110087753AMedicaidMA
1659497782OtherLORRAINE LABIENTO SMITH, OD NPI

Other names 1

  • Sudbury Eye Care Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110527000016 MA Part B Supplier - Clinic/Group Practice 0749467884 Receives reassigned benefits from 1 practitioner
Practice locations: Sudbury, MA

National Provider Directory

National Provider Directory

Locations

410 Boston Post Rd
Ste 34
Sudbury, MA 01776
Phone (978) 443-3021

344 Boston Post Rd
Sudbury, MA 01776
Phone (978) 443-3021

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": "1292457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421712000000",
    "number": "1427351295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "344 BOSTON POST ROAD",
            "city": "SUDBURY",
            "state": "MA",
            "postal_code": "017763058",
            "telephone_number": "978-443-3021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "344 BOSTON POST ROAD",
            "city": "SUDBURY",
            "state": "MA",
            "postal_code": "017763058",
            "telephone_number": "978-443-3021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUDBURY EYE CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-16",
        "last_updated": "2015-01-20",
        "status": "A",
        "authorized_official_last_name": "LABIENTO SMITH",
        "authorized_official_first_name": "LORRAINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "978-443-3021",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MA",
            "license": "4334",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110087753A",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LORRAINE LABIENTO SMITH, OD NPI",
            "identifier": "1659497782",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sudbury Eye Care",
            "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 Jan 20, 2015; 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.