Specialized Pediatric Eye Care, Inc

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

229695 Issued in MA

Legal business name

SPECIALIZED PEDIATRIC EYE CARE, INC

Practice address

77 Herrick St
Unit 102
Beverly, MA 01915-2734

Phone

(978) 338-4321

NPI assigned

Jun 22, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Danielle Monique Ledoux, MDNPI 1528085982

Title

President

Phone

(617) 650-9997

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Interoperability endpoints

• Direct secure messaging: omccabe@spec.intellechartdirect.net

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Spec, LLC

  • Ophthalmology Physician
  • Beverly, MA
  • NPI 1073995783
  NPPES parent name
• Specialty Pediatric Eye Care, LLC

  • Ophthalmology Physician
  • Beverly, MA
  • NPI 1295120574
  NPPES parent name

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Danielle M Ledoux, M.D.

  • Pediatric Ophthalmology and Strabismus Specialist Physician
  • Beverly, MA
  • NPI 1528085982
  Medicare reassignment Authorized official
• Jacqueline Taylor Kenney, OD

  • Pediatric Optometrist
  • Beverly, MA
  • NPI 1033809884
  Medicare reassignment NPD
• Poonam N. Doshi, MD

  • Pediatric Ophthalmology and Strabismus Specialist Physician
  • Lexington, MA
  • NPI 1770727745
  Medicare reassignment
• O'Ine McCabe, M.D.

  • Ophthalmology Physician
  • Lexington, MA
  • NPI 1689611634
  Medicare reassignment
• Catherine Anne Johnson, O.D.

  • Optometrist
  • Nashua, NH
  • NPI 1083822696

  MA

  Medicare reassignment

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

{
    "created_epoch": "1434931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434931200000",
    "number": "1457733917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 HERRICK ST",
            "address_2": "UNIT 102",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019152734",
            "telephone_number": "978-338-4321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 HERRICK ST",
            "address_2": "UNIT 102",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019152734",
            "telephone_number": "978-338-4321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIALIZED PEDIATRIC EYE CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-22",
        "last_updated": "2015-06-22",
        "status": "A",
        "authorized_official_last_name": "LEDOUX",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_middle_name": "MONIQUE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "617-650-9997",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "MA",
            "license": "229695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zuriah Souvannakane
• Leticia Maria Beirao Costa Silva Souza, M.D.
• Stanley A Sozanski, D.D.S.
• Jarrod Spalding
• Spec, LLC
• Specialty Pediatric Eye Care, LLC
• Speech Therapy Group, LLC.
• William Jeffrey Spencer
• Isaac Sperry
• James Sperry, ABA

• Ophthalmology Physician in Beverly, MA
• Providers in Beverly, 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 22, 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.