Organization Active NPI

The Eye Team LTD

Doing business as Insight Optical

  • Optometrist
  • Burlington, MA
National Provider Identifier
1790815124
Registry record updated Jan 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3624 Issued in MA
Legal business name
THE EYE TEAM LTD
Doing business as
Insight Optical
Practice address
50 Mall Rd
Suite 114
Burlington, MA 01803-4537
Phone
(781) 229-2020
Fax
(781) 229-2025
NPI assigned
Mar 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2009

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

Authorized official

Name
Dr. Derek Feifke, OD
Title
President
Phone
(781) 229-2020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 3624 MA Primary

Addresses

Primary practice location

50 Mall Rd
Suite 114
Burlington, MA 01803-4537

Mailing address

50 Mall Rd
Suite 114
Burlington, MA 01803-4537
Phone (781) 229-2020

Other identifiers 1

IdentifierTypeStateIssuer
W20057OtherMABLUE CROSS BLUE SHIELD

Other names 1

  • Insight Optical Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232409600000",
    "number": "1790815124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 MALL RD",
            "address_2": "SUITE 114",
            "city": "BURLINGTON",
            "state": "MA",
            "postal_code": "018034537",
            "telephone_number": "781-229-2020",
            "fax_number": "781-229-2025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 MALL RD",
            "address_2": "SUITE 114",
            "city": "BURLINGTON",
            "state": "MA",
            "postal_code": "018034537",
            "telephone_number": "781-229-2020",
            "fax_number": "781-229-2025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE EYE TEAM LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2009-01-20",
        "status": "A",
        "authorized_official_last_name": "FEIFKE",
        "authorized_official_first_name": "DEREK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "781-229-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MA",
            "license": "3624",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "W20057",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Insight Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Burlington, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2009; 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.