Eye Health Services,Inc.

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

4394 Issued in MA

Legal business name

EYE HEALTH SERVICES,INC.

Practice address

146 Church St
Pembroke, MA 02359-1950

Phone

(781) 826-4396

Fax

(781) 826-6759

NPI assigned

Dec 12, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Paul J Wasson, M.D.

Title

Clerk

Phone

(617) 472-5242

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371772800000",
    "number": "1528128105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 CROWN COLONY DRIVE",
            "address_2": "STE 301",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021690931",
            "telephone_number": "617-472-5242",
            "fax_number": "617-770-2975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "146 CHURCH ST",
            "city": "PEMBROKE",
            "state": "MA",
            "postal_code": "023591950",
            "telephone_number": "781-826-4396",
            "fax_number": "781-826-6759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE HEALTH SERVICES,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2013-06-21",
        "status": "A",
        "authorized_official_last_name": "WASSON",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CLERK",
        "authorized_official_telephone_number": "617-472-5242",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "MA",
            "license": "4394",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9711317",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Eyewear Supplier in Pembroke, MA
• Providers in Pembroke, MA by specialty
• Eyewear Supplier in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2013; 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.