NPIMap

Organization Active NPI

Jeanine Prevost Dba Somerset Eye Care

  • Optometrist
  • Somerset, MA
National Provider Identifier
1497944003
Registry record updated Jun 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3366 Issued in MA
Legal business name
JEANINE PREVOST DBA SOMERSET EYE CARE
Practice address
1287 Wilbur Ave
Somerset, MA 02725-1816
Phone
(508) 676-2140
NPI assigned
Oct 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2008

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

Authorized official

Name
Dr. Jeanine Prevost, ODNPI 1083614838
Title
Owner
Phone
(508) 676-2140

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
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 3366 MA Primary

Addresses

Primary practice location

1287 Wilbur Ave
Somerset, MA 02725-1816

Mailing address

1287 Wilbur Ave
Somerset, MA 02725-1816
Phone (508) 676-2140

Other names 1

  • SOMERSET EYE CARE Doing business as

National Provider Directory

National Provider Directory

Locations

1287 Wilbur Ave
Somerset, MA 02725
Phone (508) 673-2140

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": "1192752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1497944003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1287 WILBUR AVE",
            "city": "SOMERSET",
            "state": "MA",
            "postal_code": "027251816",
            "telephone_number": "508-676-2140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1287 WILBUR AVE",
            "city": "SOMERSET",
            "state": "MA",
            "postal_code": "027251816",
            "telephone_number": "508-676-2140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEANINE PREVOST DBA SOMERSET EYE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-19",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "PREVOST",
        "authorized_official_first_name": "JEANINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "508-676-2140",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MA",
            "license": "3366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SOMERSET EYE CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Somerset, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; 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.