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Cambridge Health Alliance Eye Center

Organization Active NPI Optician · Somerville, MA

NPI 1669650487 · NPPES record last updated Feb 4, 2008

Key facts

NPI
1669650487
Entity type
Organization (NPI type 2)
Primary specialty
Optician 156FX1800X
Legal business name
CAMBRIDGE HEALTH ALLIANCE EYE CENTER
Practice address
65 Beacon St
Somerville, MA 02143-4324
Phone
(617) 665-1347
NPI assigned
Feb 4, 2008
Organization subpart
Yes
Parent organization (as reported)
CAMBRIDGE PUBLIC HEALTH/DBA/CAMBRIDGE HEALTH ALLIANCE

Authorized official

Name
Dennis D Keefe
Title
Ceo
Phone
(617) 665-1448

Corporate family (same tax ID) 43

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

View all 43

National Provider Directory

Tax ID family
Cambridge Public Health (44 organizations share this tax ID)
Part of
Cambridge Public Health

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Optician
Group: 193200000X MULTI-SPECIALTY GROUP		 156FX1800X Yes

Addresses

Primary practice location

65 Beacon St
Somerville, MA 02143-4324

Mailing address

65 Beacon St
Somerville, MA 02143-4324
Phone (617) 665-1347

Other identifiers

IdentifierTypeStateIssuer
2051648MedicaidMA

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 4, 2008.

{
    "created_epoch": "1202083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202083200000",
    "number": "1669650487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 BEACON ST",
            "city": "SOMERVILLE",
            "state": "MA",
            "postal_code": "021434324",
            "telephone_number": "617-665-1347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 BEACON ST",
            "city": "SOMERVILLE",
            "state": "MA",
            "postal_code": "021434324",
            "telephone_number": "617-665-1347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMBRIDGE HEALTH ALLIANCE EYE CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CAMBRIDGE PUBLIC HEALTH/DBA/CAMBRIDGE HEALTH ALLIANCE",
        "enumeration_date": "2008-02-04",
        "last_updated": "2008-02-04",
        "status": "A",
        "authorized_official_last_name": "KEEFE",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "617-665-1448"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2051648",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerville, MA

All providers in Somerville, MA · Optician in Massachusetts

Sources for this page

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