Active NPI
Retina Macula Eye Care, P.C.
- Ophthalmology Physician
- Canton, MA
National Provider Identifier
1497080907
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 220139
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Nigel H. Timothy, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Ophthalmology Physician
- Canton, MA
- NPI 1609808146
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.