NPIMap

Organization Active NPI

Randolph Eye, PC

  • Optometrist
  • Randolph, MA
National Provider Identifier
1538173489
Registry record updated Sep 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
RANDOLPH EYE, PC
Practice address
27 Memorial Pkwy
Randolph, MA 02368-4505
Phone
(781) 986-7400
NPI assigned
Jul 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2008

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

Authorized official

Name
Ronald Cline, OD
Title
Owner
Phone
(781) 986-7400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

27 Memorial Pkwy
Randolph, MA 02368-4505

Mailing address

27 Memorial Pkwy
Randolph, MA 02368-4505
Phone (781) 986-7400

Other identifiers 4

IdentifierTypeStateIssuer
708853AOtherMATUFTS
1152531OtherUHC GROUP
W20030OtherMABCBS GROUP
9726659MedicaidMA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222041600000",
    "number": "1538173489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 MEMORIAL PKWY",
            "city": "RANDOLPH",
            "state": "MA",
            "postal_code": "023684505",
            "telephone_number": "781-986-7400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 MEMORIAL PKWY",
            "city": "RANDOLPH",
            "state": "MA",
            "postal_code": "023684505",
            "telephone_number": "781-986-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANDOLPH EYE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-28",
        "last_updated": "2008-09-22",
        "status": "A",
        "authorized_official_last_name": "CLINE",
        "authorized_official_first_name": "RONALD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "781-986-7400",
        "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": "TUFTS",
            "identifier": "708853A",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC GROUP",
            "identifier": "1152531",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP",
            "identifier": "W20030",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9726659",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Randolph, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 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.