Active NPI
Plymouth Bridgewater Eye Care
- Optometrist
- Plymouth, MA
National Provider Identifier
1629143201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2663
- 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
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0356395 | Medicaid | MA |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Bridgewater, MA
- NPI 1366629768
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
- Laurie Lee Plante, MASTER'S OF ED.
- Plymouth Bay Internal Medicine
- Plymouth Bay Orthopedic Associates Non Bidco LLC
- Plymouth Bay Orthopedic Associates, Inc.
- Plymouth Bay Urology Specialists, P.C.
- Plymouth Carver Primary Care
- Plymouth Carver Primary Care, P.C.
- Plymouth County Behavioral Health LLC
- Plymouth County Sheriff'S Department
- Plymouth Dental Care, LLC
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.