Organization Active NPI

Jennifer Damico Oconnor

Doing business as Eye Associates

  • Optometrist
  • North Brookfield, MA
National Provider Identifier
1689863623
Registry record updated Jul 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3785 Issued in MA
Legal business name
JENNIFER DAMICO OCONNOR
Doing business as
Eye Associates
Practice address
355 N Main St
North Brookfield, MA 01535
Phone
(508) 867-3755
NPI assigned
Oct 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2008

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

Authorized official

Name
Dr. Jennifer Damico Oconnor, OD
Title
Owner
Phone
(508) 867-3755

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X 3785 MA Primary
Durable Medical Equipment & Medical Supplies 332B00000X 3786 MA

Addresses

Primary practice location

355 N Main St
North Brookfield, MA 01535

Mailing address

355 North Main Street
North Brookfield, MA 01535
Phone (508) 867-3755

Other identifiers 1

IdentifierTypeStateIssuer
9777385MedicaidMA

Other names 1

  • Eye Associates Doing business as

National Provider Directory

National Provider Directory

Locations

167 N Main St
North Brookfield, MA 01535

355 N Main St
North Brookfield, MA 01535
Phone (508) 867-3755

NPI Registry JSON

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

{
    "created_epoch": "1192492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215648000000",
    "number": "1689863623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 NORTH MAIN STREET",
            "city": "NORTH BROOKFIELD",
            "state": "MA",
            "postal_code": "01535",
            "telephone_number": "508-867-3755",
            "fax_number": "508-867-7832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 N MAIN ST",
            "city": "NORTH BROOKFIELD",
            "state": "MA",
            "postal_code": "01535",
            "telephone_number": "508-867-3755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER DAMICO OCONNOR",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-16",
        "last_updated": "2008-07-10",
        "status": "A",
        "authorized_official_last_name": "OCONNOR",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "DAMICO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "508-867-3755",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "MA",
            "license": "3785",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MA",
            "license": "3786",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9777385",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eye Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Brookfield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.