Active NPI
Independent Eye Care Inc
- Optometrist
- Danvers, MA
National Provider Identifier
1619029550
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- John Iannitto, OD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| W21037 | Other | MA | BCBS |
National Provider Directory
National Provider DirectoryLocations
164 Sylvan St
Danvers, MA 01923
Phone (978) 744-4500
Interoperability endpoints
- 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.
-
- Optometrist
- Danvers, MA
- NPI 1477624542
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.