NPIMap

Organization Active NPI

Paul M Cangiano Inc

Doing business as Vision North

  • Optometrist
  • Boston, MA
National Provider Identifier
1588707442
Registry record updated Nov 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
PAUL M CANGIANO INC
Doing business as
Vision North
Practice address
77 N Washington St
Boston, MA 02114-1908
Phone
(617) 227-2010
Fax
(617) 227-1997
NPI assigned
Feb 14, 2007
Last updated
Nov 17, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2015

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

Authorized official

Name
Paul M Cangiano, ODNPI 1538238787
Title
Owner
Phone
(617) 227-2010

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
Optometrist 152W00000X Primary

Addresses

Primary practice location

77 N Washington St
Boston, MA 02114-1908

Mailing address

77 N Washington St
Suite 1
Boston, MA 02114-1908
Phone (617) 227-2010

Other identifiers 1

IdentifierTypeStateIssuer
W21087OtherBCBS

Other names 1

  • Vision North Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050708000709 MA Part B Supplier - Clinic/Group Practice 5193751428 Receives reassigned benefits from 4 practitioners
Practice locations: Boston, MA

National Provider Directory

National Provider Directory
Tax ID family
Paul M Cangiano Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

77 N Washington St
Boston, MA 02114
Phone (617) 227-2010

77 N Washington St
Ste 1
Boston, MA 02114

Practitioners & affiliated clinicians

Practitioners 4

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": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447718400000",
    "number": "1588707442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 N WASHINGTON ST",
            "address_2": "SUITE 1",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021141908",
            "telephone_number": "617-227-2010",
            "fax_number": "617-227-1997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 N WASHINGTON ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021141908",
            "telephone_number": "617-227-2010",
            "fax_number": "617-227-1997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL M CANGIANO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-14",
        "last_updated": "2015-11-17",
        "status": "A",
        "authorized_official_last_name": "CANGIANO",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-227-2010",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "W21087",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vision North",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Boston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.