NPIMap

Organization Active NPI

Exeter Eye Associates, LLC

  • Optometrist
  • Boston, MA
National Provider Identifier
1467807461
Registry record updated Apr 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4075 Issued in MA
Legal business name
EXETER EYE ASSOCIATES, LLC
Practice address
37 Newbury St
Boston, MA 02116-3100
Phone
(617) 437-9995
NPI assigned
Apr 27, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2016

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

Authorized official

Name
Jeffrey P Norden, O.D.NPI 1619035144
Title
Owner/Optometrist
Phone
(617) 512-8120

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X 4075 MA Primary

Addresses

Primary practice location

37 Newbury St
Boston, MA 02116-3100

Mailing address

37 Newbury St
Boston, MA 02116-3100
Phone (617) 437-9995

Other names 1

  • Saugus Eye Associates Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160602001361 MA Part B Supplier - Clinic/Group Practice 2860782919 Receives reassigned benefits from 7 practitioners
Practice locations: Boston, MA; Saugus, MA

National Provider Directory

National Provider Directory

Locations

37 Newbury St
Boston, MA 02116
Phone (617) 437-1070

1201 Broadway
Saugus, MA 01906
Phone (617) 721-6493

Practitioners & affiliated clinicians

Practitioners 7

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": "1461715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461715200000",
    "number": "1467807461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 NEWBURY ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021163100",
            "telephone_number": "617-437-9995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 NEWBURY ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021163100",
            "telephone_number": "617-437-9995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXETER EYE ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-27",
        "last_updated": "2016-04-27",
        "status": "A",
        "authorized_official_last_name": "NORDEN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER/OPTOMETRIST",
        "authorized_official_telephone_number": "617-512-8120",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "MA",
            "license": "4075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Saugus Eye Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Boston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2016; 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.