Organization Active NPI

Massachusetts Eye Research and Surgery Institution

  • Ophthalmology Physician
  • Cambridge, MA
National Provider Identifier
1588905343
Registry record updated Apr 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
MASSACHUSETTS EYE RESEARCH AND SURGERY INSTITUTION
Practice address
5 Cambridge Ctr
8TH Floor
Cambridge, MA 02142-1407
Phone
(617) 621-6377
NPI assigned
Mar 4, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2024

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

Authorized official

Name
Ferida Tadic
Title
Operations Manager
Phone
(781) 891-6377

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

5 Cambridge Ctr
8TH Floor
Cambridge, MA 02142-1407

Mailing address

1440 Main St
Waltham, MA 02451-1631
Phone (781) 891-6377

Other identifiers 1

IdentifierTypeStateIssuer
110070707AMedicaidMA

National Provider Directory

National Provider Directory
Tax ID family
Massachusetts Eye Research and Surgery Institution2 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.

NPI Registry JSON

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

{
    "created_epoch": "1362355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714003200000",
    "number": "1588905343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1440 MAIN ST",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024511631",
            "telephone_number": "781-891-6377",
            "fax_number": "781-647-1430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 CAMBRIDGE CTR",
            "address_2": "8TH FLOOR",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021421407",
            "telephone_number": "617-621-6377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASSACHUSETTS EYE RESEARCH AND SURGERY INSTITUTION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-04",
        "last_updated": "2024-04-25",
        "certification_date": "2024-04-25",
        "status": "A",
        "authorized_official_last_name": "TADIC",
        "authorized_official_first_name": "FERIDA",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "781-891-6377"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110070707A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cambridge, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2024; 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.