Organization Active NPI

Retina Macula Eye Care, P.C.

  • Ophthalmology Physician
  • Canton, MA
National Provider Identifier
1497080907
Registry record updated Oct 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
220139 Issued in MA
Legal business name
RETINA MACULA EYE CARE, P.C.
Practice address
95 Washington St
Suite 592, Village Shoppes
Canton, MA 02021-4006
Phone
(781) 989-4744
Fax
(781) 769-4794
NPI assigned
Oct 16, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2009

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

Authorized official

Name
Dr. Nigel H. Timothy, MDNPI 1609808146
Title
President
Phone
(617) 935-5550

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
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X 220139 MA Primary

Addresses

Primary practice location

95 Washington St
Suite 592, Village Shoppes
Canton, MA 02021-4006

Mailing address

95 Washington St
Suite 592, Village Shoppes
Canton, MA 02021-4006
Phone (781) 989-4744

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100128000392 MA Part B Supplier - Clinic/Group Practice 2961544978 Receives reassigned benefits from 1 practitioner
Practice locations: Canton, MA

National Provider Directory

National Provider Directory

Locations

95 Washington St
Ste 594
Canton, MA 02021

95 Washington St
Ste 592
Canton, MA 02021
Phone (781) 769-4797

Practitioners & affiliated clinicians

Practitioners 1

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": "1255651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255651200000",
    "number": "1497080907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 WASHINGTON ST",
            "address_2": "SUITE 592, VILLAGE SHOPPES",
            "city": "CANTON",
            "state": "MA",
            "postal_code": "020214006",
            "telephone_number": "781-989-4744",
            "fax_number": "781-769-4794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 WASHINGTON ST",
            "address_2": "SUITE 592, VILLAGE SHOPPES",
            "city": "CANTON",
            "state": "MA",
            "postal_code": "020214006",
            "telephone_number": "781-989-4744",
            "fax_number": "781-769-4794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RETINA MACULA EYE CARE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-16",
        "last_updated": "2009-10-16",
        "status": "A",
        "authorized_official_last_name": "TIMOTHY",
        "authorized_official_first_name": "NIGEL",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "617-935-5550",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "MA",
            "license": "220139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2009; 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.