Organization Active NPI

Neuro-Ophthalmology & Eyecare P.C.

  • Ophthalmology Physician
  • Wilbraham, MA
National Provider Identifier
1548480403
Registry record updated Jul 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
161328 Issued in MA
Legal business name
NEURO-OPHTHALMOLOGY & EYECARE P.C.
Practice address
2036A Boston Rd
Wilbraham, MA 01095
Phone
(413) 543-5444
NPI assigned
Apr 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 4, 2019

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

Authorized official

Name
Dr. Erkan Mutlukan
Title
Provider Physician
Phone
(413) 543-5444

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X 161328 MA Primary
Clinic/Center 261Q00000X 161328 MA
Customized Equipment (DME) 332BC3200X 161328 MA

Addresses

Primary practice location

2036A Boston Rd
Wilbraham, MA 01095

Mailing address

2036A Boston Rd
Wilbraham, MA 01095-1102
Phone (413) 543-5444

Other practice location 1

2036A Boston Rd
Wilbraham, MA 01095
Phone (413) 543-5444

National Provider Directory

National Provider Directory

Locations

1964 Boston Rd
Ste 2
Wilbraham, MA 01095
Phone (413) 543-5444

2036A Boston Rd
Wilbraham, MA 01095
Phone (413) 543-4520

NPI Registry JSON

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562198400000",
    "number": "1548480403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2036A BOSTON RD",
            "city": "WILBRAHAM",
            "state": "MA",
            "postal_code": "010951102",
            "telephone_number": "413-543-5444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2036A BOSTON RD",
            "city": "WILBRAHAM",
            "state": "MA",
            "postal_code": "01095",
            "telephone_number": "413-543-5444"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2036A Boston Rd",
            "address_purpose": "LOCATION",
            "city": "Wilbraham",
            "state": "MA",
            "postal_code": "01095",
            "country_code": "US",
            "telephone_number": "413-543-5444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NEURO-OPHTHALMOLOGY & EYECARE P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-25",
        "last_updated": "2019-07-04",
        "status": "A",
        "authorized_official_last_name": "MUTLUKAN",
        "authorized_official_first_name": "ERKAN",
        "authorized_official_title_or_position": "PROVIDER PHYSICIAN",
        "authorized_official_telephone_number": "413-543-5444",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "MA",
            "license": "161328",
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MA",
            "license": "161328",
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "MA",
            "license": "161328",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilbraham, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 2019; 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.