Organization Active NPI

Tallman Eye Whittier

  • Ophthalmology Physician
  • Lawrence, MA
National Provider Identifier
1639768229
Registry record updated May 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
TALLMAN EYE WHITTIER
Practice address
360 Merrimack St Ste 9
Lawrence, MA 01843-1764
Phone
(978) 688-6182
NPI assigned
Jan 18, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2025

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

Authorized official

Name
Cynthia L Deangelis, MDNPI 1366425639
Title
President/ Partner
Phone
(978) 688-6182

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 Primary

Addresses

Primary practice location

360 Merrimack St Ste 9
Lawrence, MA 01843-1764

Mailing address

360 Merrimack Street
BLDG 9, Entrance I
Lawrence, MA 01843-1764
Phone (978) 688-6182

Other identifiers 1

IdentifierTypeStateIssuer
110067940AMedicaidMA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address TPP@tea.ecldirect.net Tallman Eye Associates, PC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210510001869 MA Part B Supplier - Clinic/Group Practice 3678982352 Receives reassigned benefits from 13 practitioners
Practice locations: Haverhill, MA; Lawrence, MA; Newburyport, MA; North Andover, MA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1610928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747094400000",
    "number": "1639768229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 MERRIMACK STREET",
            "address_2": "BLDG 9, ENTRANCE I",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "018431764",
            "telephone_number": "978-688-6182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 MERRIMACK ST STE 9",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "018431764",
            "telephone_number": "978-688-6182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TALLMAN EYE WHITTIER",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-18",
        "last_updated": "2025-05-13",
        "certification_date": "2025-05-13",
        "status": "A",
        "authorized_official_last_name": "DEANGELIS",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT/ PARTNER",
        "authorized_official_telephone_number": "978-688-6182",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110067940A",
            "state": "MA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "TPP@tea.ecldirect.net",
            "affiliation": "Y",
            "affiliationName": "Tallman Eye Associates, PC",
            "address_1": "360 Merrimack St Ste 9",
            "city": "Lawrence",
            "state": "MA",
            "country_code": "US",
            "postal_code": "018431764",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lawrence, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2025; 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.