Bay State Excellent Vision

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

BAY STATE EXCELLENT VISION

Practice address

600 Main St
Malden, MA 02148-3919

Phone

(781) 321-6463

NPI assigned

Jun 12, 2013

Last updated

Jun 12, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Brian D Moser

Title

Officemanager

Phone

(603) 430-5225

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Locations

Practitioners 3

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.

• Chantal Dolly McCarron, O.D.

  • Optometrist
  • Stoneham, MA
  • NPI 1205906104
  Medicare reassignment Care Compare group NPD
• Edward H. Jaccoma, M.D.

  • Ophthalmology Physician
  • Waterbury, CT
  • NPI 1982681367

  MA

  Medicare reassignment Care Compare group NPD
• Richard J Lasonde, MD

  • Ophthalmology Physician
  • Portsmouth, NH
  • NPI 1295701985

  MA

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1370995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370995200000",
    "number": "1437597424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 GRIFFIN RD # 1",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038014125",
            "telephone_number": "603-430-5225",
            "fax_number": "603-430-1230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 MAIN ST",
            "city": "MALDEN",
            "state": "MA",
            "postal_code": "021483919",
            "telephone_number": "781-321-6463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY STATE EXCELLENT VISION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-12",
        "last_updated": "2013-06-12",
        "status": "A",
        "authorized_official_last_name": "MOSER",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OFFICEMANAGER",
        "authorized_official_telephone_number": "603-430-5225",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ineida Barros, PMHNP-BC
• Saoudatou Barry
• Kenjii Barthelemy
• Macy Bartlett
• Francisco Bastardo
• Faiz Bayo-Awoyemi, M.D.
• Beacon Point Care Center LLC (Beacon Point Care Center)
• Beantown Chiropractic Corp (Beantown Chiropractic & Sports Medicine)
• Ann Beck, LICSW
• Amber Beigay, M.S., CCC-SLP

• Ophthalmology Physician in Malden, MA
• Providers in Malden, MA by specialty
• Ophthalmology Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2013; 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.