NPIMap

Organization Active NPI

Neuro-Ophthalmology & Eyecare PC

  • Durable Medical Equipment & Medical Supplies
  • Wilbraham, MA
National Provider Identifier
1487019022
Registry record updated Jul 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
161328 Issued in MA
Legal business name
NEURO-OPHTHALMOLOGY & EYECARE PC
Practice address
2036A Boston Rd
Wilbraham, MA 01095
Phone
(413) 543-4520
NPI assigned
Dec 28, 2015
Last updated
Jul 4, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 4, 2019

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

Authorized official

Name
Dr. Erkan Mutlukan, MD PHDNPI 1457465353
Title
President
Phone
(413) 543-5444

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 161328 MA
Durable Medical Equipment & Medical Supplies 332B00000X 161328 MA Primary
Ophthalmology Physician 207W00000X 161328 MA

Addresses

Primary practice location

2036A Boston Rd
Wilbraham, MA 01095

Mailing address

2036A Boston Rd
Wilbraham, MA 01095-1102
Phone (413) 543-5444

Other practice location 1

1964 Boston Rd
Spectacle Shoppe of Wilbraham
Wilbraham, MA 01095-1480
Phone (413) 543-4520

Other practice location 2

2036A Boston Rd
Wilbraham, MA 01095
Phone (413) 543-4520

National Provider Directory

National Provider Directory

Locations

2036A Boston Rd
Wilbraham, MA 01095
Phone (413) 543-4520

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1451260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562198400000",
    "number": "1487019022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2036A BOSTON RD",
            "city": "WILBRAHAM",
            "state": "MA",
            "postal_code": "010951102",
            "telephone_number": "413-543-5444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2036A BOSTON RD",
            "city": "WILBRAHAM",
            "state": "MA",
            "postal_code": "01095",
            "telephone_number": "413-543-4520"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1964 Boston Rd",
            "address_2": "Spectacle Shoppe of Wilbraham",
            "address_purpose": "LOCATION",
            "city": "Wilbraham",
            "state": "MA",
            "postal_code": "010951480",
            "country_code": "US",
            "telephone_number": "413-543-4520",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2036A Boston Rd",
            "address_purpose": "LOCATION",
            "city": "Wilbraham",
            "state": "MA",
            "postal_code": "01095",
            "country_code": "US",
            "telephone_number": "413-543-4520",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NEURO-OPHTHALMOLOGY & EYECARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-28",
        "last_updated": "2019-07-04",
        "status": "A",
        "authorized_official_last_name": "MUTLUKAN",
        "authorized_official_first_name": "ERKAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "413-543-5444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD PHD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "MA",
            "license": "161328",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MA",
            "license": "161328",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MA",
            "license": "161328",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilbraham, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 2019; 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.