Active NPI
Eyespot, LLC
- Ophthalmology Physician
- Chestnut Hill, MA
National Provider Identifier
1740596915
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 154668
- Legal business name
- EYESPOT, LLC
- Practice address
- 1 Boylston St
Suite 3D
Chestnut Hill, MA 02467-1719 - Phone
- (617) 650-4324
- NPI assigned
- Aug 26, 2010
- 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. Jorge Guillermo Arroyo, MD
- Title
- President
- Phone
- (617) 650-4324
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 154668 | MA | Primary |
Addresses
Primary practice location
1 Boylston St
Suite 3D
Chestnut Hill, MA 02467-1719
Mailing address
1 Boylston St
Suite 3D
Chestnut Hill, MA 02467-1719
Phone (617) 650-4324
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3167712 | Medicaid | MA | |
| 6502950001 | Other | MA | PROVIDER TRANSACTION ACCESS NUMBER |
National Provider Directory
National Provider DirectoryLocations
1 Boylston St
Ste 3E
Chestnut Hill, MA 02467
Phone (617) 232-3303
1 Boylston St
Ste 3D
Chestnut Hill, MA 02467
Phone (617) 232-3303
63 Central St
Wellesley, MA 02482
Phone (781) 235-7870
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Student in an Organized Health Care Education/Training Program
- Brockton, MA
- NPI 1588194732
-
- Optometrist
- Medford, MA
- NPI 1700498672
-
- Student in an Organized Health Care Education/Training Program
- Burlington, MA
- NPI 1083406565
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282780800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1305676800000",
"number": "1740596915",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 BOYLSTON ST",
"address_2": "SUITE 3D",
"city": "CHESTNUT HILL",
"state": "MA",
"postal_code": "024671719",
"telephone_number": "617-650-4324"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 BOYLSTON ST",
"address_2": "SUITE 3D",
"city": "CHESTNUT HILL",
"state": "MA",
"postal_code": "024671719",
"telephone_number": "617-650-4324"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EYESPOT, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-08-26",
"last_updated": "2011-05-18",
"status": "A",
"authorized_official_last_name": "ARROYO",
"authorized_official_first_name": "JORGE",
"authorized_official_middle_name": "GUILLERMO",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "617-650-4324",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": "MA",
"license": "154668",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3167712",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROVIDER TRANSACTION ACCESS NUMBER",
"identifier": "6502950001",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chestnut Hill, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.