Active NPI
Kevork Tinkjian, OPTICIAN( ABO)
- Optician
- Cambridge, MA
National Provider Identifier
1679789366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- MA5677
- Practice address
- 50 Prospect St
Cambridge, MA 02139-2401 - Phone
- (617) 349-3937
- Fax
- (617) 349-0074
- NPI assigned
- May 16, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | MA5677 | MA | Primary |
Addresses
Primary practice location
50 Prospect St
Cambridge, MA 02139-2401
Mailing address
50 Prospect St
Cambridge, MA 02139-2401
Phone (617) 349-3937
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA5677 | MA | MD | Optician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kathleen Murphy OD LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Optometrist
- Cambridge, MA
- NPI 1508044058
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1679789366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 PROSPECT ST",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "021392401",
"telephone_number": "617-349-3937",
"fax_number": "617-349-0074"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 PROSPECT ST",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "021392401",
"telephone_number": "617-349-3937",
"fax_number": "617-349-0074"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TINKJIAN",
"first_name": "KEVORK",
"name_prefix": "Mr.",
"credential": "OPTICIAN( ABO)",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "MA",
"license": "MA5677",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cambridge, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.