Nsea Whaipa LLC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

NSEA WHAIPA LLC

Practice address

669 Main Street
Wakefield, MA 01880-5221

Phone

(781) 245-5200

Fax

(781) 246-3932

NPI assigned

Aug 1, 2019

Organization subpart

No

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

Authorized official

Name

Dr. C. Douglas Evans, MD

Title

Owner

Phone

(781) 245-5200

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1564617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564617600000",
    "number": "1629622188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "669 MAIN STREET",
            "city": "WAKEFIELD",
            "state": "MA",
            "postal_code": "018805221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "669 MAIN STREET",
            "city": "WAKEFIELD",
            "state": "MA",
            "postal_code": "018805221",
            "telephone_number": "781-245-5200",
            "fax_number": "781-246-3932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NSEA WHAIPA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-01",
        "last_updated": "2019-08-01",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "C. DOUGLAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "781-245-5200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ophthalmology Physician in Wakefield, MA
• Providers in Wakefield, MA by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2019; 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.