Active NPI
Lexington Eye Associates - Optical
- Optician
- Lexington, MA
National Provider Identifier
1699221150
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- Legal business name
- LEXINGTON EYE ASSOCIATES - OPTICAL
- Practice address
- 21 Worthen Rd
Lexington, MA 02421-4835 - Phone
- (781) 862-1620
- Fax
- (781) 863-9416
- NPI assigned
- Aug 25, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jennifer P. Mullon, M.D.
- Title
- President
- Phone
- (781) 862-1620
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | Primary |
Addresses
Primary practice location
21 Worthen Rd
Lexington, MA 02421-4835
Mailing address
21 Worthen Rd
Lexington, MA 02421-4835
Phone (781) 862-1620
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20170512002078 | MA | DME Supplier - Physician - General Practice | 9436436730 | Practice locations: Lexington, MA |
National Provider Directory
National Provider Directory- Tax ID family
- Lexington Eye Associates - Optical
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Optician
- Dedham, MA
- NPI 1033819818
-
- Optician
- Sudbury, MA
- NPI 1134897713
Locations
21 Worthen Rd
Lexington, MA 02421
Phone (617) 862-1620
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472083200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1472083200000",
"number": "1699221150",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21 WORTHEN RD",
"city": "LEXINGTON",
"state": "MA",
"postal_code": "024214835",
"telephone_number": "781-862-1620",
"fax_number": "781-863-9416"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21 WORTHEN RD",
"city": "LEXINGTON",
"state": "MA",
"postal_code": "024214835",
"telephone_number": "781-862-1620",
"fax_number": "781-863-9416"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LEXINGTON EYE ASSOCIATES - OPTICAL",
"organizational_subpart": "NO",
"enumeration_date": "2016-08-25",
"last_updated": "2016-08-25",
"status": "A",
"authorized_official_last_name": "MULLON",
"authorized_official_first_name": "JENNIFER",
"authorized_official_middle_name": "P.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "781-862-1620",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Technician/Technologist, Optician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lexington, MA
- Lexington Dental, LLC
- Lexington Endodontics
- Lexington Eye Associates - Bid
- Lexington Eye Associates - Highland Healthcare
- Lexington Eye Associates - LGH
- Lexington Eye Associates-Bid
- Lexington Eye Associates, Inc
- Lexington Eye Associates, Inc.
- Lexington Eye Associates, Inc.
- Lexington Eye Associates, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2016; 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.