Organization Active NPI

Plymouth Bridgewater Eye Care

  • Optometrist
  • Plymouth, MA
National Provider Identifier
1629143201
Registry record updated Dec 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2663 Issued in MA
Legal business name
PLYMOUTH BRIDGEWATER EYE CARE
Practice address
27 Court St
Plymouth, MA 02360-3821
Phone
(508) 746-2080
Fax
(508) 746-2080
NPI assigned
Nov 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2007

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

Authorized official

Name
Dr. Sherman Andrew Geller, O.D.NPI 1366629768
Title
Owner
Phone
(508) 746-2080

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
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 2663 MA Primary

Addresses

Primary practice location

27 Court St
Plymouth, MA 02360-3821

Mailing address

27 Court St
Plymouth, MA 02360-3821
Phone (508) 746-2080

Other identifiers 1

IdentifierTypeStateIssuer
0356395MedicaidMA

National Provider Directory

National Provider Directory

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": "1164067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197244800000",
    "number": "1629143201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 COURT ST",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023603821",
            "telephone_number": "508-746-2080",
            "fax_number": "508-746-2080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 COURT ST",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023603821",
            "telephone_number": "508-746-2080",
            "fax_number": "508-746-2080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLYMOUTH BRIDGEWATER EYE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-21",
        "last_updated": "2007-12-10",
        "status": "A",
        "authorized_official_last_name": "GELLER",
        "authorized_official_first_name": "SHERMAN",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "508-746-2080",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MA",
            "license": "2663",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0356395",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2007; 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.