Commonwealth Eyecare Professionals, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

COMMONWEALTH EYECARE PROFESSIONALS, LLC

Practice address

275 Bicentennial Hwy Ste 101
Springfield, MA 01118-1965

Phone

(413) 783-3100

Fax

(413) 782-7998

NPI assigned

Jan 24, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Joseph Peter Bouvier Jr., M.D.

Title

Owner

Phone

(413) 783-3100

Specialties & licenses 3

Addresses

Other identifiers 1

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

{
    "created_epoch": "1390521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664928000000",
    "number": "1740603919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 BICENTENNIAL HWY STE 101",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011181965",
            "telephone_number": "413-783-3100",
            "fax_number": "413-782-7998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 BICENTENNIAL HWY STE 101",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011181965",
            "telephone_number": "413-783-3100",
            "fax_number": "413-782-7998"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "809 Williams St",
            "address_purpose": "LOCATION",
            "city": "Longmeadow",
            "state": "MA",
            "postal_code": "011062060",
            "country_code": "US",
            "telephone_number": "413-754-3808",
            "fax_number": "413-754-3809",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COMMONWEALTH EYECARE PROFESSIONALS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-24",
        "last_updated": "2022-10-05",
        "certification_date": "2022-10-05",
        "status": "A",
        "authorized_official_last_name": "BOUVIER",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "PETER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "413-783-3100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "MA",
            "license": "226532",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF MASSACHUSETTS",
            "identifier": "1740603919",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2022; 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.