Beverly Independent Eye Care, Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

BEVERLY INDEPENDENT EYE CARE, INC.

Practice address

495 Cabot St
Unit #1
Beverly, MA 01915-2515

Phone

(978) 921-5000

Fax

(978) 921-5003

NPI assigned

Aug 6, 2015

Organization subpart

No

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

Authorized official

Name

Anthony L Seymour, O.D.

Title

Director

Phone

(978) 921-5000

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1438819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438819200000",
    "number": "1508242017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 ENDICOTT ST",
            "city": "DANVERS",
            "state": "MA",
            "postal_code": "019235502",
            "telephone_number": "978-921-5000",
            "fax_number": "978-921-5003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "495 CABOT ST",
            "address_2": "UNIT #1",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019152515",
            "telephone_number": "978-921-5000",
            "fax_number": "978-921-5003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEVERLY INDEPENDENT EYE CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-06",
        "last_updated": "2015-08-06",
        "status": "A",
        "authorized_official_last_name": "SEYMOUR",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "978-921-5000",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beverly Family Chiropractic, P.C.
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• Beverly Pathology Associates, Inc.
• Beverly Pathology Associates, P.C.
• Beverly Pediatric Assoicates
• Beverly Pediatrics Association

• Optometrist in Beverly, MA
• Providers in Beverly, MA by specialty
• Optometrist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2015; 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.