Drizik Eyecare Inc

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

DRIZIK EYECARE INC

Practice address

85 Cedar St
Stoneham, MA 02180-2100

Phone

(781) 279-4347

NPI assigned

Jul 3, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Boris Drizik, ODNPI 1841654803

Title

Owner/Doctor

Phone

(617) 510-8463

Specialties & licenses 1

Addresses

Other names 1

• Drizik Eyecare Inc Doing business as

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Practitioners 1

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

• Boris Drizik, O.D.

  • Optometrist
  • Marlborough, MA
  • NPI 1841654803
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1530576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537488000000",
    "number": "1679069512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 PINECREST VLG",
            "city": "HOPKINTON",
            "state": "MA",
            "postal_code": "017482172",
            "telephone_number": "617-510-8463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 CEDAR ST",
            "city": "STONEHAM",
            "state": "MA",
            "postal_code": "021802100",
            "telephone_number": "781-279-4347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRIZIK EYECARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-03",
        "last_updated": "2018-09-21",
        "status": "A",
        "authorized_official_last_name": "DRIZIK",
        "authorized_official_first_name": "BORIS",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "617-510-8463",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Drizik Eyecare Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Colleen Donovan
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• Dube Optical Inc.
• Dube Optical Inc.

• Optometrist in Stoneham, MA
• Providers in Stoneham, MA by specialty
• Optometrist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2018; 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.