Organization Active NPI

Independent Eye Care Inc

  • Optometrist
  • Danvers, MA
National Provider Identifier
1619029550
Registry record updated Jan 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
INDEPENDENT EYE CARE INC
Practice address
180 Endicott St
Danvers, MA 01923-3683
Phone
(508) 880-0793
NPI assigned
Jan 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2017

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

Authorized official

Name
John Iannitto, ODNPI 1477624542
Title
Owner
Phone
(978) 774-4500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

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

Addresses

Primary practice location

180 Endicott St
Danvers, MA 01923-3683

Mailing address

180 Endicott St
Danvers, MA 01923-3683
Phone (508) 880-0793

Other identifiers 1

IdentifierTypeStateIssuer
W21037OtherMABCBS

National Provider Directory

National Provider Directory

Locations

164 Sylvan St
Danvers, MA 01923
Phone (978) 744-4500

Interoperability endpoints

  • FHIR API: https://independenteyecareincdanvers.ef.prod.fhir.ema-api.com/fhir/r4/

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485734400000",
    "number": "1619029550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 ENDICOTT ST",
            "city": "DANVERS",
            "state": "MA",
            "postal_code": "019233683",
            "telephone_number": "508-880-0793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 ENDICOTT ST",
            "city": "DANVERS",
            "state": "MA",
            "postal_code": "019233683",
            "telephone_number": "508-880-0793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDEPENDENT EYE CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2017-01-30",
        "status": "A",
        "authorized_official_last_name": "IANNITTO",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "978-774-4500",
        "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": "BCBS",
            "identifier": "W21037",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Danvers, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2017; 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.