NPIMap

Organization Active NPI

Bennett Family Eye Care PC

  • Optometrist
  • Belmont, MA
National Provider Identifier
1659640969
Registry record updated Dec 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4679 Issued in MA
Legal business name
BENNETT FAMILY EYE CARE PC
Practice address
231 Belmont St
Belmont, MA 02478-3607
Phone
(617) 484-1414
Fax
(617) 489-1957
NPI assigned
Dec 16, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2011

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

Authorized official

Name
Dr. Rebecca Bennett Maida, O.D.
Title
Optometrist
Phone
(617) 484-1414

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X 2870 MA
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X 4405 MA
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X 4679 MA Primary

Addresses

Primary practice location

231 Belmont St
Belmont, MA 02478-3607

Mailing address

231 Belmont St
Belmont, MA 02478-3607
Phone (617) 484-1414

Other names 1

  • Linda Bennett, O.D. Former legal business name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1323993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324944000000",
    "number": "1659640969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 BELMONT ST",
            "city": "BELMONT",
            "state": "MA",
            "postal_code": "024783607",
            "telephone_number": "617-484-1414",
            "fax_number": "617-489-1957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 BELMONT ST",
            "city": "BELMONT",
            "state": "MA",
            "postal_code": "024783607",
            "telephone_number": "617-484-1414",
            "fax_number": "617-489-1957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENNETT FAMILY EYE CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-16",
        "last_updated": "2011-12-27",
        "status": "A",
        "authorized_official_last_name": "MAIDA",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "BENNETT",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "617-484-1414",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "MA",
            "license": "2870",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "MA",
            "license": "4405",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "MA",
            "license": "4679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Linda Bennett, O.D.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Belmont, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2011; 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.