Medford Eyecare LLC

Primary specialty

Point of ServiceTaxonomy code 305S00000X

License

5138 Issued in MA

Legal business name

MEDFORD EYECARE LLC

Practice address

21 High St
Medford, MA 02155-3807

Phone

(781) 393-5700

NPI assigned

Jul 13, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Boris Drizik, O.D.

Title

Optometrist

Phone

(871) 393-5700

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1468368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468368000000",
    "number": "1487006599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 HIGH ST",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "021553807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 HIGH ST",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "021553807",
            "telephone_number": "781-393-5700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDFORD EYECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-13",
        "last_updated": "2016-07-13",
        "status": "A",
        "authorized_official_last_name": "DRIZIK",
        "authorized_official_first_name": "BORIS",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "871-393-5700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "MA",
            "license": "5138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Medford Armory Dental P.C.
• Medford Clinical Laboratories
• Medford Dental Associates, LLC
• Medford Dental Wellness Center, PC
• Medford Endodontics, LLC
• Medford Eyeglass Shop Inc.
• Medford Family & Cosmetic Dentistry PLLC
• Medford Family Dental Care
• Medford Healthcare Group, LLC
• Medford Main Street Dental P.C.

• Point of Service in Medford, MA
• Providers in Medford, MA by specialty
• Point of Service in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2016; 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.