Organization Active NPI

Ocular Pro Services LLC

  • Optometrist
  • Beverly, MA
National Provider Identifier
1528538402
Registry record updated Dec 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
OCULAR PRO SERVICES LLC
Doing business as
Ocular Pro Services LLC
Practice address
5 Dodge St # 109
Beverly, MA 01915-1703
Phone
(857) 327-5599
Fax
(978) 279-1117
NPI assigned
Dec 4, 2018
Last updated
Dec 4, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2018

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

Authorized official

Name
Dr. Alexander Richard Martin, ODNPI 1851816201
Title
Ceo
Phone
(857) 327-5599

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 Primary

Addresses

Primary practice location

5 Dodge St # 109
Beverly, MA 01915-1703

Mailing address

5 Dodge St # 109
Beverly, MA 01915-1703
Phone (857) 327-5599

Other identifiers 4

IdentifierTypeStateIssuer
9330TGOtherTXOPTOMETRIST
8909OtherNYOPTOMETRIST
0527OtherMAOPTOMETRIST
0979OtherNHOPTOMETRIST

Other names 1

  • Ocular Pro Services LLC Doing business as

National Provider Directory

National Provider Directory

Locations

5 Dodge St
#109
Beverly, MA 01915
Phone (857) 327-5599

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1543881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543881600000",
    "number": "1528538402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 DODGE ST # 109",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019151703",
            "telephone_number": "857-327-5599",
            "fax_number": "978-279-1117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 DODGE ST # 109",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019151703",
            "telephone_number": "857-327-5599",
            "fax_number": "978-279-1117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCULAR PRO SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-04",
        "last_updated": "2018-12-04",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "857-327-5599",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTOMETRIST",
            "identifier": "9330TG",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTOMETRIST",
            "identifier": "8909",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTOMETRIST",
            "identifier": "0527",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTOMETRIST",
            "identifier": "0979",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ocular Pro Services LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Beverly, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2018; 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.