Cataract and Laser Center of the North Shore, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

CATARACT AND LASER CENTER OF THE NORTH SHORE, LLC

Practice address

349 N Main St
Andover, MA 01810-2687

Phone

(978) 475-0959

Fax

(978) 475-1769

NPI assigned

Nov 1, 2006

Last updated

Jan 23, 2024By 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

Ms. Holly Phillips

Title

RN/ Nurse Manager

Phone

(978) 475-0959

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Listed as

Cataract and Laser Center of the North Shore LLCCCN 22C0001028

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 3

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.

• Glenn P Kimball Jr., M.D.

  • Ophthalmology Physician
  • Haverhill, MA
  • NPI 1265428924
  NPD
• Robert O. Kwon, M.D.

  • Ophthalmology Physician
  • Lawrence, MA
  • NPI 1437193844
  NPD
• John B Constantine, M.D.

  • Ophthalmology Physician
  • Chelmsford, MA
  • NPI 1437157765
  NPD (past)

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705968000000",
    "number": "1790862183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "349 N MAIN ST",
            "city": "ANDOVER",
            "state": "MA",
            "postal_code": "018102687",
            "telephone_number": "978-475-0959",
            "fax_number": "978-475-1769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "349 N MAIN ST",
            "city": "ANDOVER",
            "state": "MA",
            "postal_code": "018102687",
            "telephone_number": "978-475-0959",
            "fax_number": "978-475-1769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATARACT AND LASER CENTER OF THE NORTH SHORE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2024-01-23",
        "certification_date": "2024-01-23",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_title_or_position": "RN/ NURSE MANAGER",
        "authorized_official_telephone_number": "978-475-0959",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alyssa Carrus
• Courtney A Carver, PT,DPT,ATC,LAT,PES
• Diana Casado
• Yomeiry Castillo
• Eileen Casto, LMHC
• Mark Caton, LICSW
• CDPH Services LLC
• Jill Celata, LICSW
• Wilawan None Chaiyarat
• Madhavi Challagulla, MD

• Ambulatory Surgical Clinic/Center in Andover, MA
• Providers in Andover, MA by specialty
• Ambulatory Surgical Clinic/Center in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.