NPIMap

Organization Active NPI

Longwood Eye, LLC

  • Ophthalmology Physician
  • West Springfield, MA
National Provider Identifier
1649875964
Registry record updated Apr 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
LONGWOOD EYE, LLC
Practice address
180 Daggett Dr
West Springfield, MA 01089-4667
Phone
(413) 452-4111
NPI assigned
Dec 3, 2020
Last updated
Apr 24, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2023

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

Authorized official

Name
Gwenn Stinnett
Title
Billing Manager
Phone
(828) 551-1157

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NU
Ophthalmology Physician 207W00000X NU Primary

Addresses

Primary practice location

180 Daggett Dr
West Springfield, MA 01089-4667

Mailing address

33 Riddell St
Greenfield, MA 01301-2025
Phone (413) 774-7016

Other practice location 1

33 Riddell St
Greenfield, MA 01301-2025
Phone (413) 774-7016

Other practice location 2

33 Electric Ave Ste 105
Fitchburg, MA 01420-7954
Phone (978) 342-8752

Other practice location 3

354 Main St
Gardner, MA 01440-3055
Phone (978) 632-4920

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201222001483 MA Part B Supplier - Clinic/Group Practice 0143632802 Receives reassigned benefits from 21 practitioners
Practice locations: Fitchburg, MA; West Springfield, MA; Greenfield, MA; Gardner, MA

National Provider Directory

National Provider Directory
Tax ID family
Longwood Eye LLC3 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

33 Electric Ave
Ste 105
Fitchburg, MA 01420
Phone (413) 286-2020

33 Riddell St
Ste 2
Greenfield, MA 01301
Phone (413) 286-2020

180 Daggett Dr
West Springfield, MA 01089
Phone (413) 286-2020

Interoperability endpoints

  • Direct secure messaging: alocicero@longwood.intellechartdirect.net
  • Direct secure messaging: aprovost@longwood.intellechartdirect.net
  • Direct secure messaging: bcole@longwood.intellechartdirect.net
  • Direct secure messaging: cjacoba@longwood.intellechartdirect.net
  • Direct secure messaging: n.chhaya@longwood.intellechartdirect.net
  • Direct secure messaging: nodomfern@longwood.intellechartdirect.net
  • Direct secure messaging: vneerukonda@longwood.intellechartdirect.net

Practitioners & affiliated clinicians

Practitioners 21

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1606953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682294400000",
    "number": "1649875964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 RIDDELL ST",
            "city": "GREENFIELD",
            "state": "MA",
            "postal_code": "013012025",
            "telephone_number": "413-774-7016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 DAGGETT DR",
            "city": "WEST SPRINGFIELD",
            "state": "MA",
            "postal_code": "010894667",
            "telephone_number": "413-452-4111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "33 Riddell St",
            "address_purpose": "LOCATION",
            "city": "Greenfield",
            "state": "MA",
            "postal_code": "013012025",
            "country_code": "US",
            "telephone_number": "413-774-7016",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "33 Electric Ave Ste 105",
            "address_purpose": "LOCATION",
            "city": "Fitchburg",
            "state": "MA",
            "postal_code": "014207954",
            "country_code": "US",
            "telephone_number": "978-342-8752",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "354 Main St",
            "address_purpose": "LOCATION",
            "city": "Gardner",
            "state": "MA",
            "postal_code": "014403055",
            "country_code": "US",
            "telephone_number": "978-632-4920",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LONGWOOD EYE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-03",
        "last_updated": "2023-04-24",
        "certification_date": "2023-04-24",
        "status": "A",
        "authorized_official_last_name": "STINNETT",
        "authorized_official_first_name": "GWENN",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "828-551-1157"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Springfield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2023; 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.