NPIMap

Organization Active NPI

Eminent Eye Care LLC

  • Optometrist
  • Medford, MA
National Provider Identifier
1467731109
Registry record updated Aug 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4872 Issued in MA
Legal business name
EMINENT EYE CARE LLC
Practice address
278 Middlesex Ave
Medford, MA 02155-5066
Phone
(781) 396-2322
Fax
(781) 396-3353
NPI assigned
Aug 12, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2011

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

Authorized official

Name
Yan Lu, O.D.
Title
Manager
Phone
(617) 894-6503

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 4872 MA Primary

Addresses

Primary practice location

278 Middlesex Ave
Medford, MA 02155-5066

Mailing address

278 Middlesex Ave
Medford, MA 02155-5066
Phone (781) 396-2322

National Provider Directory

National Provider Directory

Locations

380 Pleasant St
Ste 16
Malden, MA 02148
Phone (781) 870-0177

278 Middlesex Ave
Medford, MA 02155
Phone (781) 396-0235

210 Andover St
Peabody, MA 01960
Phone (978) 278-7400

1325 Broadway
Saugus, MA 01906
Phone (781) 231-4583

Practitioners & affiliated clinicians

Practitioners 2

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": "1313107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313107200000",
    "number": "1467731109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "278 MIDDLESEX AVE",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "021555066",
            "telephone_number": "781-396-2322",
            "fax_number": "781-396-3353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "278 MIDDLESEX AVE",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "021555066",
            "telephone_number": "781-396-2322",
            "fax_number": "781-396-3353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMINENT EYE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-12",
        "last_updated": "2011-08-12",
        "status": "A",
        "authorized_official_last_name": "LU",
        "authorized_official_first_name": "YAN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "617-894-6503",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MA",
            "license": "4872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medford, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2011; 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.