Organization Active NPI

Charles River Eye Associates

  • Specialist
  • Winchester, MA
National Provider Identifier
1619207487
Registry record updated Dec 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
56366 Issued in MA
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

Updated by the provider on Dec 30, 2009

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., PHDNPI 1588601280
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)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1588601280OtherNPI

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
22D2009253Charles River Eye Associates955 Main Street, Winchester, MA 01890Certificate of waiverJun 28, 2028

National Provider Directory

National Provider Directory
Tax ID family
Charles River Eye Associates2 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

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.

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.

Verify at the official NPI Registry.