Organization Active NPI

Leahey Eye Clinic

  • Optometrist
  • Lowell, MA
National Provider Identifier
1487747085
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
LEAHEY EYE CLINIC
Practice address
9 Central Street
Lowell, MA 01852-1927
Phone
(978) 458-4546
Fax
(978) 932-9264
NPI assigned
Oct 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Nancy Dorazio
Title
Bookkeeper
Phone
(978) 458-4546

Specialties & licenses 1

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

Addresses

Primary practice location

9 Central Street
Lowell, MA 01852-1927

Mailing address

9 Central Street
Lowell, MA 01852-1927
Phone (978) 458-4546

Other identifiers 1

IdentifierTypeStateIssuer
9700765MedicaidMA

National Provider Directory

National Provider Directory

Locations

9 Central St
Ste 500
Lowell, MA 01852

224 N Broadway
Salem, NH 03079
Phone (603) 893-5576

Practitioners & affiliated clinicians

Practitioners 5

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": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487747085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 CENTRAL STREET",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018521927",
            "telephone_number": "978-458-4546",
            "fax_number": "978-932-9264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 CENTRAL STREET",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018521927",
            "telephone_number": "978-458-4546",
            "fax_number": "978-932-9264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEAHEY EYE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DORAZIO",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "BOOKKEEPER",
        "authorized_official_telephone_number": "978-458-4546",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9700765",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lowell, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.