Organization Active NPI

Retina Eye Care P.C.

  • Ophthalmology Physician
  • Natick, MA
National Provider Identifier
1639236714
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
153637 Issued in MA
Legal business name
RETINA EYE CARE P.C.
Practice address
182 W Central St
Suite 102
Natick, MA 01760-3756
Phone
(508) 903-0003
Fax
(508) 903-0005
NPI assigned
Jan 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
William Tang, M.D.NPI 1972540177
Title
President
Phone
(508) 903-0003

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
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X 153637 MA Primary

Addresses

Primary practice location

182 W Central St
Suite 102
Natick, MA 01760-3756

Mailing address

182 W Central St
Suite 102
Natick, MA 01760-3756
Phone (508) 903-0003

Other identifiers 5

IdentifierTypeStateIssuer
152660OtherMAHARVARD PILGRIM NO
M17838OtherMABCBS GROUP NUMBER
691958OtherMATUFTS GROUP NUMBER
CK8742OtherMARAILROAD MEDICARE
9709436MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050608000292 MA Part B Supplier - Clinic/Group Practice 2961445192 Receives reassigned benefits from 1 practitioner
Practice locations: Natick, MA

National Provider Directory

National Provider Directory
Tax ID family
Retina Eye Care PC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

182 W Central St
Natick, MA 01760
Phone (774) 334-1099

2005 Bay St
Ste 204A
Taunton, MA 02780
Phone (508) 884-5665

Interoperability endpoints

  • Direct secure messaging: wtang@reccc.intellechartdirect.net

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": "1167696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1639236714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "182 W CENTRAL ST",
            "address_2": "SUITE 102",
            "city": "NATICK",
            "state": "MA",
            "postal_code": "017603756",
            "telephone_number": "508-903-0003",
            "fax_number": "508-903-0005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "182 W CENTRAL ST",
            "address_2": "SUITE 102",
            "city": "NATICK",
            "state": "MA",
            "postal_code": "017603756",
            "telephone_number": "508-903-0003",
            "fax_number": "508-903-0005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RETINA EYE CARE P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TANG",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "508-903-0003",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "MA",
            "license": "153637",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM NO",
            "identifier": "152660",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP NUMBER",
            "identifier": "M17838",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS GROUP NUMBER",
            "identifier": "691958",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CK8742",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9709436",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Natick, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.