Organization Active NPI

Pratt Ophthalmology Associates, Inc.

  • Ophthalmology Physician
  • Cambridge, MA
National Provider Identifier
1780925503
Registry record updated Jul 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
PRATT OPHTHALMOLOGY ASSOCIATES, INC.
Practice address
300 Mount Auburn Street
Suite 414
Cambridge, MA 02138
Phone
(617) 636-5000
NPI assigned
Mar 4, 2013
Organization subpart
Yes
Parent organization
PRATT OPHTHALMOLOGY ASSOCIATES, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 28, 2015

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

Authorized official

Name
Theodore Bukowski
Title
Cfo
Phone
(617) 636-5000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

300 Mount Auburn Street
Suite 414
Cambridge, MA 02138

Mailing address

800 Washington St
Box1013
Boston, MA 02111-1552
Phone (617) 636-5000

Other names 1

  • NEEC Mt. Auburn Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Pratt Opthalmology Asso2 organizations share this tax ID, including this one
Part of
Pratt Opthalmology Asso

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1362355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438041600000",
    "number": "1780925503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 WASHINGTON ST",
            "address_2": "BOX1013",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021111552",
            "telephone_number": "617-636-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 MOUNT AUBURN STREET",
            "address_2": "SUITE 414",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "02138",
            "telephone_number": "617-636-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRATT OPHTHALMOLOGY ASSOCIATES, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PRATT OPHTHALMOLOGY ASSOCIATES, INC.",
        "enumeration_date": "2013-03-04",
        "last_updated": "2015-07-28",
        "status": "A",
        "authorized_official_last_name": "BUKOWSKI",
        "authorized_official_first_name": "THEODORE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "617-636-5000"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NEEC Mt. Auburn",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cambridge, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2015; 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.