Organization Active NPI

Dr John E Callinan OD PC

  • Optometrist
  • Framingham, MA
National Provider Identifier
1467675033
Registry record updated Mar 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OD2111 Issued in MA
Legal business name
DR JOHN E CALLINAN OD PC
Practice address
149 Concord Street
5 Arcade
Framingham, MA 01702
Phone
(508) 875-7662
Fax
(508) 875-7662
NPI assigned
Apr 11, 2007
Last updated
Mar 24, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2010

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

Authorized official

Name
Dr. John E Callinan, OD
Title
President
Phone
(508) 875-7662

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X OD2111 MA Primary

Addresses

Primary practice location

149 Concord Street
5 Arcade
Framingham, MA 01702

Mailing address

149 Concord Street
5 Arcade
Framingham, MA 01702
Phone (508) 875-7662

Other identifiers 8

IdentifierTypeStateIssuer
6000000003OtherHARVARD PILGRIM
410018810OtherRAILROAD MEDICARE
0021770OtherNEIGHBORHOOD HEALTH
9731229MedicaidMA
0315931MedicaidMA
135934OtherEYE MED
W20015OtherMABLUE CROSS GROUP #
W15511OtherMABLUE CROSS PROV #

National Provider Directory

National Provider Directory

Locations

149 Concord St
Framingham, MA 01702
Phone (508) 820-0002

149 Concord St
Ste 5
Framingham, MA 01702
Phone (508) 875-7662

NPI Registry JSON

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269388800000",
    "number": "1467675033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "149 CONCORD STREET",
            "address_2": "5 ARCADE",
            "city": "FRAMINGHAM",
            "state": "MA",
            "postal_code": "01702",
            "telephone_number": "508-875-7662",
            "fax_number": "508-875-7662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "149 CONCORD STREET",
            "address_2": "5 ARCADE",
            "city": "FRAMINGHAM",
            "state": "MA",
            "postal_code": "01702",
            "telephone_number": "508-875-7662",
            "fax_number": "508-875-7662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR JOHN E CALLINAN OD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2010-03-24",
        "status": "A",
        "authorized_official_last_name": "CALLINAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "508-875-7662",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "MA",
            "license": "OD2111",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "6000000003",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "410018810",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEIGHBORHOOD HEALTH",
            "identifier": "0021770",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9731229",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0315931",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYE MED",
            "identifier": "135934",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS GROUP #",
            "identifier": "W20015",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROV #",
            "identifier": "W15511",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Framingham, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2010; 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.