Active NPI
Charles River Eye Associates
- Specialist
- Winchester, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 56366
- Legal business name
- CHARLES RIVER EYE ASSOCIATES
- Practice address
- 955 Main St
Suite 307
Winchester, MA 01890-1961 - Phone
- (781) 729-3008
- Fax
- (781) 729-2402
- NPI assigned
- Dec 30, 2009
- 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
- Dr. Jack V. Greiner, D.O., PHD
- Title
- Ophalmologist/Eye Surgeon
- Phone
- (781) 729-3008
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 56366 | MA | Primary |
Addresses
Primary practice location
955 Main St
Suite 307
Winchester, MA 01890-1961
Mailing address
5 Whittier PL
Suite 102
Boston, MA 02114-1428
Phone (781) 729-3008
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588601280 | Other | NPI |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 22D2009253 | Charles River Eye Associates | Certificate of waiver | Jun 28, 2028 |
National Provider Directory
National Provider Directory- Tax ID family
- Charles River Eye Associates
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Ophthalmology Physician
- Boston, MA
- NPI 1821106998
Locations
955 Main St
Ste 307
Winchester, MA 01890
Phone (781) 721-4701
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Ophthalmology Physician
- Boston, MA
- NPI 1588601280
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1262131200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1262131200000",
"number": "1619207487",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 WHITTIER PL",
"address_2": "SUITE 102",
"city": "BOSTON",
"state": "MA",
"postal_code": "021141428",
"telephone_number": "781-729-3008",
"fax_number": "781-729-2402"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "955 MAIN ST",
"address_2": "SUITE 307",
"city": "WINCHESTER",
"state": "MA",
"postal_code": "018901961",
"telephone_number": "781-729-3008",
"fax_number": "781-729-2402"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHARLES RIVER EYE ASSOCIATES",
"organizational_subpart": "NO",
"enumeration_date": "2009-12-30",
"last_updated": "2009-12-30",
"status": "A",
"authorized_official_last_name": "GREINER",
"authorized_official_first_name": "JACK",
"authorized_official_middle_name": "V.",
"authorized_official_title_or_position": "OPHALMOLOGIST/EYE SURGEON",
"authorized_official_telephone_number": "781-729-3008",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.O., PHD"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "MA",
"license": "56366",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1588601280",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Winchester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.