NPIMap

Organization Active NPI

Physicians Eye Care, LLC.

  • Ophthalmology Physician
  • Chestnut Hill, MA
National Provider Identifier
1679018279
Registry record updated Jan 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
PHYSICIANS EYE CARE, LLC.
Practice address
250 Hammond Pond Pkwy
Unit 505 North
Chestnut Hill, MA 02467-1533
Phone
(617) 251-8891
Fax
(617) 332-7132
NPI assigned
Jan 5, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2017

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

Authorized official

Name
Mahnaz Nouri, M.D.NPI 1629000112
Title
Owner
Phone
(617) 251-8891

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

250 Hammond Pond Pkwy
Unit 505 North
Chestnut Hill, MA 02467-1533

Mailing address

250 Hammond Pond Pkwy
Unit 505 North
Chestnut Hill, MA 02467-1533
Phone (617) 251-8891

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170120001007 MA Part B Supplier - Clinic/Group Practice 2163704412 Receives reassigned benefits from 1 practitioner
Practice locations: Brookline, MA

National Provider Directory

National Provider Directory

Locations

1101 Beacon St
Ste 1
Brookline, MA 02446
Phone (617) 651-0938

Practitioners & affiliated clinicians

Practitioners 12

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": "1483574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483660800000",
    "number": "1679018279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 HAMMOND POND PKWY",
            "address_2": "UNIT 505 NORTH",
            "city": "CHESTNUT HILL",
            "state": "MA",
            "postal_code": "024671533",
            "telephone_number": "617-251-8891",
            "fax_number": "617-332-7132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 HAMMOND POND PKWY",
            "address_2": "UNIT 505 NORTH",
            "city": "CHESTNUT HILL",
            "state": "MA",
            "postal_code": "024671533",
            "telephone_number": "617-251-8891",
            "fax_number": "617-332-7132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIANS EYE CARE, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-05",
        "last_updated": "2017-01-06",
        "status": "A",
        "authorized_official_last_name": "NOURI",
        "authorized_official_first_name": "MAHNAZ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-251-8891",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chestnut Hill, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2017; 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.