Organization Active NPI

Eyespot, LLC

  • Ophthalmology Physician
  • Chestnut Hill, MA
National Provider Identifier
1740596915
Registry record updated May 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
154668 Issued in MA
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

Updated by the provider on May 18, 2011

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)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
3167712MedicaidMA
6502950001OtherMAPROVIDER TRANSACTION ACCESS NUMBER

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.