Organization Active NPI

Eye Center Optical, Inc.

  • Optician
  • Winchendon, MA
National Provider Identifier
1750819991
Registry record updated Jun 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
Legal business name
EYE CENTER OPTICAL, INC.
Doing business as
ECO
Practice address
13 Walnut Street
Winchendon, MA 01475
Phone
(978) 297-2020
NPI assigned
Jun 1, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2017

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

Authorized official

Name
Tracy J. Kenniff
Title
Administrator
Phone
(413) 774-7016

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OpticianGroup: 193400000X SINGLE SPECIALTY GROUP 156FX1800X Primary

Addresses

Primary practice location

13 Walnut Street
Winchendon, MA 01475

Mailing address

33 Riddell Street
Greenfield, MA 01301
Phone (413) 774-7016

Other names 1

  • ECO Doing business as

National Provider Directory

National Provider Directory

Locations

13 Walnut St
Winchendon, MA 01475
Phone (978) 297-2020

Practitioners & affiliated clinicians

Practitioners 1

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": "1496275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1496275200000",
    "number": "1750819991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 RIDDELL STREET",
            "city": "GREENFIELD",
            "state": "MA",
            "postal_code": "01301",
            "telephone_number": "413-774-7016",
            "fax_number": "413-773-7596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 WALNUT STREET",
            "city": "WINCHENDON",
            "state": "MA",
            "postal_code": "01475",
            "telephone_number": "978-297-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE CENTER OPTICAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-01",
        "last_updated": "2017-06-01",
        "status": "A",
        "authorized_official_last_name": "KENNIFF",
        "authorized_official_first_name": "TRACY",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "413-774-7016"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ECO",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Winchendon, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2017; 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.