Tyngsboro Eye Care, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

3232 Issued in MA

Legal business name

TYNGSBORO EYE CARE, LLC

Practice address

150 Westford Rd
Suite #4
Tyngsboro, MA 01879-2511

Phone

(978) 649-1212

Fax

(978) 649-1218

NPI assigned

Oct 25, 2007

Organization subpart

No

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

Authorized official

Name

Dr. William J. O'Donnell, O.D.NPI 1194937482

Title

Owner

Phone

(978) 649-1212

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• William J O'Donnell, O.D.

  • Optometrist
  • Tyngsboro, MA
  • NPI 1194937482
  NPD (past) Authorized official

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

{
    "created_epoch": "1193270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193270400000",
    "number": "1740469816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 WESTFORD RD",
            "address_2": "SUITE #4",
            "city": "TYNGSBORO",
            "state": "MA",
            "postal_code": "018792511",
            "telephone_number": "978-649-1212",
            "fax_number": "978-649-1218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 WESTFORD RD",
            "address_2": "SUITE #4",
            "city": "TYNGSBORO",
            "state": "MA",
            "postal_code": "018792511",
            "telephone_number": "978-649-1212",
            "fax_number": "978-649-1218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TYNGSBORO EYE CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-25",
        "last_updated": "2007-10-25",
        "status": "A",
        "authorized_official_last_name": "O'DONNELL",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "978-649-1212",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MA",
            "license": "3232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Tyngsboro Family Pharmacy Inc
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• Tyngsboro Smiles PC
• Tyngsborough Physical Therapy Corp.

• Optometrist in Tyngsboro, MA
• Providers in Tyngsboro, MA by specialty
• Optometrist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2007; 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.