NPIMap

Organization Active NPI

Shawsheen Vision Associates PC

  • Optometrist
  • Billerica, MA
National Provider Identifier
1710167101
Registry record updated May 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
SHAWSHEEN VISION ASSOCIATES PC
Practice address
1 Andover Rd
Billerica, MA 01821-1915
Phone
(978) 663-3100
NPI assigned
Nov 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2010

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

Authorized official

Name
Richard Alan Goldman, ODNPI 1528023215
Title
Owner
Phone
(978) 663-3100

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

1 Andover Rd
Billerica, MA 01821-1915

Mailing address

1 Andover Rd
Billerica, MA 01821-1915
Phone (978) 663-3100

Other identifiers 1

IdentifierTypeStateIssuer
9700129MedicaidMA

National Provider Directory

National Provider Directory

Locations

1 Andover Rd
Billerica, MA 01821
Phone (978) 663-3100

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1194998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273708800000",
    "number": "1710167101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 ANDOVER RD",
            "city": "BILLERICA",
            "state": "MA",
            "postal_code": "018211915",
            "telephone_number": "978-663-3100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 ANDOVER RD",
            "city": "BILLERICA",
            "state": "MA",
            "postal_code": "018211915",
            "telephone_number": "978-663-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAWSHEEN VISION ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-14",
        "last_updated": "2010-05-13",
        "status": "A",
        "authorized_official_last_name": "GOLDMAN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "978-663-3100",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9700129",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Billerica, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2010; 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.