J. Wallace McMeel, M.D., P.C.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

J. WALLACE MCMEEL, M.D., P.C.

Practice address

1 Autumn St
6TH Floor
Boston, MA 02215-5301

Phone

(617) 632-7777

Fax

(617) 632-7770

NPI assigned

Nov 8, 2007

Last updated

Nov 8, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Marjie S Whittemore

Title

Dir of Clinical&Business Operations

Phone

(617) 632-7776

Specialties & licenses 1

Addresses

Other identifiers 4

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.

• John Wallace McMeel, MD

  • Ophthalmology Physician
  • Boston, MA
  • NPI 1346323821
  NPD (past)

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

{
    "created_epoch": "1194480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194480000000",
    "number": "1558541409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 AUTUMN ST",
            "address_2": "6TH FLOOR",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022155301",
            "telephone_number": "617-632-7777",
            "fax_number": "617-632-7770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 AUTUMN ST",
            "address_2": "6TH FLOOR",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022155301",
            "telephone_number": "617-632-7777",
            "fax_number": "617-632-7770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J. WALLACE MCMEEL, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-08",
        "last_updated": "2007-11-08",
        "status": "A",
        "authorized_official_last_name": "WHITTEMORE",
        "authorized_official_first_name": "MARJIE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "DIR OF CLINICAL&BUSINESS OPERATIONS",
        "authorized_official_telephone_number": "617-632-7776",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2085445",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "15499",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "706773",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS MA",
            "identifier": "M13120",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Ophthalmology Physician in Boston, MA
• Providers in Boston, MA by specialty
• Ophthalmology Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2007; 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.