LGH-Pho Dba Massachusetts Eye Associates, PC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

LGH-PHO DBA MASSACHUSETTS EYE ASSOCIATES, PC

Practice address

19 Village SQ
Chelmsford, MA 01824-2712

Phone

(978) 256-5600

Fax

(978) 703-0250

NPI assigned

Jun 18, 2014

Last updated

Aug 12, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Glen A Bolliger, M.D.NPI 1568455897

Title

Partner/Owner

Phone

(978) 256-5600

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Glen Alan Bolliger, MD

  • Ophthalmology Physician
  • Chelmsford, MA
  • NPI 1568455897
  Authorized official Same address or phone

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

{
    "created_epoch": "1403049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407801600000",
    "number": "1780098640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 VILLAGE SQ",
            "city": "CHELMSFORD",
            "state": "MA",
            "postal_code": "018242712",
            "telephone_number": "978-256-5600",
            "fax_number": "978-703-0250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 VILLAGE SQ",
            "city": "CHELMSFORD",
            "state": "MA",
            "postal_code": "018242712",
            "telephone_number": "978-256-5600",
            "fax_number": "978-703-0250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LGH-PHO DBA MASSACHUSETTS EYE ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-18",
        "last_updated": "2014-08-12",
        "status": "A",
        "authorized_official_last_name": "BOLLIGER",
        "authorized_official_first_name": "GLEN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PARTNER/OWNER",
        "authorized_official_telephone_number": "978-256-5600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Judith Hope Lewis, MSW, BCD
• Kayden C Lewis
• Stephanie R. Lewis, PA
• William James Lewis, D.D.S.
• LGH Womanhealth
• Amy Sheafee Li, NP
• Li Liang, MD
• Jennifer Marie Liano, MD
• Tracy A Lieu, M.D.
• Jennie Sophia Lim, NP

• Ophthalmology Physician in Chelmsford, MA
• Providers in Chelmsford, MA by specialty
• Ophthalmology Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2014; 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.