Organization Active NPI

Boston Eye Care Consultants

  • Ophthalmology Physician
  • Hyannis, MA
National Provider Identifier
1689701096
Registry record updated Sep 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
54395 Issued in MA
Legal business name
BOSTON EYE CARE CONSULTANTS
Practice address
51 Main St
Suite 4-5
Hyannis, MA 02601-3109
Phone
(508) 771-6447
Fax
(508) 775-5104
NPI assigned
Feb 27, 2007
Last updated
Sep 20, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2011

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

Authorized official

Name
Robert A Lytle, M.D.NPI 1831185099
Title
President
Phone
(508) 771-6447

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2579 MA
Ophthalmology Physician 207W00000X 54395 MA Primary

Addresses

Primary practice location

51 Main St
Suite 4-5
Hyannis, MA 02601-3109

Mailing address

51 Main St
Suite 4-5
Hyannis, MA 02601-3109
Phone (508) 771-6447

Other identifiers 7

IdentifierTypeStateIssuer
0393762MedicaidMA
1063440881OtherMAJANET LEMOINE NPI
15376OtherMDPILGRIM
1831185099OtherMALYTLE NPI
AETNAOtherMA4090239
M14824OtherMABCBS GROUP
711397OtherMATUFTS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050614000962 MA Part B Supplier - Clinic/Group Practice 4587608237 Receives reassigned benefits from 1 practitioner
Practice locations: Hyannis, MA; Falmouth, MA

National Provider Directory

National Provider Directory

Locations

980 Washington St
Ste 120
Dedham, MA 02026
Phone (781) 251-2222

51 Main St
Ste 4
Hyannis, MA 02601
Phone (508) 771-6447

51 Main St
Ste 45
Hyannis, MA 02601
Phone (508) 771-6447

332 Washington St
Wellesley Hls, MA 02481
Phone (781) 237-0050

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/578/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316476800000",
    "number": "1689701096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 MAIN ST",
            "address_2": "SUITE 4-5",
            "city": "HYANNIS",
            "state": "MA",
            "postal_code": "026013109",
            "telephone_number": "508-771-6447",
            "fax_number": "508-775-5104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 MAIN ST",
            "address_2": "SUITE 4-5",
            "city": "HYANNIS",
            "state": "MA",
            "postal_code": "026013109",
            "telephone_number": "508-771-6447",
            "fax_number": "508-775-5104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOSTON EYE CARE CONSULTANTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2011-09-20",
        "status": "A",
        "authorized_official_last_name": "LYTLE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "508-771-6447",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "2579",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MA",
            "license": "54395",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0393762",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JANET LEMOINE NPI",
            "identifier": "1063440881",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PILGRIM",
            "identifier": "15376",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LYTLE NPI",
            "identifier": "1831185099",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "4090239",
            "identifier": "AETNA",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP",
            "identifier": "M14824",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "711397",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hyannis, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2011; 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.