NPIMap

Organization Active NPI

Natick Eye Associates, PC

Doing business as Burlington Optometric Associates

  • Optometrist
  • Natick, MA
National Provider Identifier
1750453510
Registry record updated Aug 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3425 Issued in MA
Legal business name
NATICK EYE ASSOCIATES, PC
Doing business as
Burlington Optometric Associates
Practice address
1364 Worcester St
Natick, MA 01760-1514
Phone
(508) 655-8127
Fax
(508) 652-0819
NPI assigned
Nov 15, 2006
Last updated
Aug 1, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2011

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

Authorized official

Name
Mrs. Cheryl A Murphy
Title
Office Manager
Phone
(508) 655-8127

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3425 MA Primary

Addresses

Primary practice location

1364 Worcester St
Natick, MA 01760-1514

Mailing address

1364 Worcester St
Natick, MA 01760-1514
Phone (508) 655-8127

Other identifiers 1

IdentifierTypeStateIssuer
W20102OtherMABLUECROSS BLULD SHIELD

Other names 1

  • Burlington Optometric Associates Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050324000383 MA Part B Supplier - Clinic/Group Practice 0345296117 Receives reassigned benefits from 9 practitioners
Practice locations: Burlington, MA; Natick, MA; Peabody, MA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312156800000",
    "number": "1750453510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1364 WORCESTER ST",
            "city": "NATICK",
            "state": "MA",
            "postal_code": "017601514",
            "telephone_number": "508-655-8127",
            "fax_number": "508-652-0819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1364 WORCESTER ST",
            "city": "NATICK",
            "state": "MA",
            "postal_code": "017601514",
            "telephone_number": "508-655-8127",
            "fax_number": "508-652-0819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATICK EYE ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2011-08-01",
        "status": "A",
        "authorized_official_last_name": "MURPHY",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "508-655-8127",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "3425",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLULD SHIELD",
            "identifier": "W20102",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Burlington Optometric Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Natick, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.