Organization Active NPI

Greater Boston Eye Care, LLC

  • Optometrist
  • Saugus, MA
National Provider Identifier
1437533759
Registry record updated Jul 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5068 Issued in MA
Legal business name
GREATER BOSTON EYE CARE, LLC
Practice address
739 Broadway
Saugus, MA 01906-3207
Phone
(781) 231-1097
NPI assigned
Jul 16, 2015
Last updated
Jul 16, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2015

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

Authorized official

Name
Dr. Andrea Reppucci, O.D.
Title
Doctor of Optometry
Phone
(508) 633-0692

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 5068 MA Primary

Addresses

Primary practice location

739 Broadway
Saugus, MA 01906-3207

Mailing address

333 Great River Rd
Apartment 206
Somerville, MA 02145-1216
Phone (508) 633-0692

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1437004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437004800000",
    "number": "1437533759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 GREAT RIVER RD",
            "address_2": "APARTMENT 206",
            "city": "SOMERVILLE",
            "state": "MA",
            "postal_code": "021451216",
            "telephone_number": "508-633-0692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "739 BROADWAY",
            "city": "SAUGUS",
            "state": "MA",
            "postal_code": "019063207",
            "telephone_number": "781-231-1097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER BOSTON EYE CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-16",
        "last_updated": "2015-07-16",
        "status": "A",
        "authorized_official_last_name": "REPPUCCI",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "DOCTOR OF OPTOMETRY",
        "authorized_official_telephone_number": "508-633-0692",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "5068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saugus, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2015; 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.