Broadway Optical Corp

Primary specialty

OpticianTaxonomy code 156FX1800X

Legal business name

BROADWAY OPTICAL CORP

Practice address

333 Broadway Street
Suite 1
Revere, MA 02151

Phone

(781) 289-0489

NPI assigned

Jun 13, 2014

Organization subpart

No

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

Authorized official

Name

Mr. William Masiello, OPTICAN

Title

Manager

Phone

(781) 289-0489

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1402617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402617600000",
    "number": "1700290160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 BROADWAY",
            "address_2": "SUITE 1",
            "city": "REVERE",
            "state": "MA",
            "postal_code": "021515017",
            "telephone_number": "781-289-0489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 BROADWAY STREET",
            "address_2": "SUITE 1",
            "city": "REVERE",
            "state": "MA",
            "postal_code": "02151",
            "telephone_number": "781-289-0489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROADWAY OPTICAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-13",
        "last_updated": "2014-06-13",
        "status": "A",
        "authorized_official_last_name": "MASIELLO",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "781-289-0489",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OPTICAN"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• King Brangman
• Lisa Dondero Brengola, NP
• Scott Brizard, PHARMD, RPH
• Broadway Dental
• Broadway Family Chiropractic, Inc
• Broadway Physical Therapy, Inc.
• Carol Broder
• Johane Brown, RN, FNP
• John Timothy Brown II, PHARMD
• Melissa Brown

• Optician in Revere, MA
• Providers in Revere, MA by specialty
• Optician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2014; 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.