Organization Active NPI

Chelmsford Optometric Associates PC

  • Optometrist
  • Chelmsford, MA
National Provider Identifier
1801035407
Registry record updated Jun 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
CHELMSFORD OPTOMETRIC ASSOCIATES PC
Practice address
11 Summer St
Chelmsford, MA 01824-3064
Phone
(978) 256-5731
Fax
(978) 256-1553
NPI assigned
Feb 5, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2013

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

Authorized official

Name
Dr. Stephen Brian Adelstein, O.D.
Title
Optometrist
Phone
(978) 256-5731

Specialties & licenses 1

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

Addresses

Primary practice location

11 Summer St
Chelmsford, MA 01824-3064

Mailing address

11 Summer St
Chelmsford, MA 01824-3064
Phone (978) 256-5731

Other identifiers 1

IdentifierTypeStateIssuer
0352705MedicaidMA

National Provider Directory

National Provider Directory

Locations

11 Summer St
Chelmsford, MA 01824
Phone (978) 256-5731

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1233792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370822400000",
    "number": "1801035407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 SUMMER ST",
            "city": "CHELMSFORD",
            "state": "MA",
            "postal_code": "018243064",
            "telephone_number": "978-256-5731",
            "fax_number": "978-256-1553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 SUMMER ST",
            "city": "CHELMSFORD",
            "state": "MA",
            "postal_code": "018243064",
            "telephone_number": "978-256-5731",
            "fax_number": "978-256-1553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHELMSFORD OPTOMETRIC ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-05",
        "last_updated": "2013-06-10",
        "status": "A",
        "authorized_official_last_name": "ADELSTEIN",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "BRIAN",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "978-256-5731",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0352705",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chelmsford, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2013; 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.