Active NPI
Pratt Ophthalmology Associates, Inc.
- Ophthalmology Physician
- Cambridge, MA
National Provider Identifier
1780925503
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- 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.
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 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
National Provider Directory
National Provider Directory- Tax ID family
- Pratt Opthalmology Asso
- 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.
-
- Ophthalmologic Surgery Clinic/Center
- Leominster, MA
- NPI 1225095342
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.