NPIMap

Individual provider Active NPI

G. Logan Eaton, O.D.

  • Optometrist
  • Norwell, MA
National Provider Identifier
1720070030
Registry record updated Aug 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2250 Issued in MA
Practice address
127 Washington St
Norwell, MA 02061-1711
Phone
(781) 878-2020
Fax
(781) 878-5643
NPI assigned
Aug 22, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2250 MA Primary

Addresses

Primary practice location

127 Washington St
Norwell, MA 02061-1711

Mailing address

127 Washington St
Norwell, MA 02061-1711
Phone (781) 878-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2250MAMDSpeech-Language Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Gordon a Price OD PC Optometrist CurrentSince Dec 3, 2018 Accepting new patients
Linda S Botello OD Optometrist Past Accepting new patients

Locations

85 Front St
Unit 81
Scituate, MA 02066
Phone (617) 299-1125

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1124668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471305600000",
    "number": "1720070030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 WASHINGTON ST",
            "city": "NORWELL",
            "state": "MA",
            "postal_code": "020611711",
            "telephone_number": "781-878-2020",
            "fax_number": "781-878-5643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 WASHINGTON ST",
            "city": "NORWELL",
            "state": "MA",
            "postal_code": "020611711",
            "telephone_number": "781-878-2020",
            "fax_number": "781-878-5643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EATON",
        "first_name": "G.",
        "middle_name": "LOGAN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-22",
        "last_updated": "2016-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "2250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwell, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2016; 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.