NPIMap

Organization Active NPI

Mark B. Abelson, M.D., P.C.

  • Optometrist
  • Andover, MA
National Provider Identifier
1801915145
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2610 Issued in MA
Legal business name
MARK B. ABELSON, M.D., P.C.
Practice address
138 Haverhill St
Suite 104
Andover, MA 01810-1509
Phone
(978) 475-0708
Fax
(978) 475-0008
NPI assigned
Mar 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ellyn Dempsey
Title
Billing Manager
Phone
(978) 684-7512

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X 2610 MA Primary

Addresses

Primary practice location

138 Haverhill St
Suite 104
Andover, MA 01810-1509

Mailing address

138 Haverhill St
Suite 104
Andover, MA 01810-1509
Phone (978) 475-0708

Other identifiers 1

IdentifierTypeStateIssuer
W20103OtherMABLUECROSSBLUESHIELD

Other names 1

  • Andover Eye Asociates Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Andover Eye Asociates3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801915145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 HAVERHILL ST",
            "address_2": "SUITE 104",
            "city": "ANDOVER",
            "state": "MA",
            "postal_code": "018101509",
            "telephone_number": "978-475-0708",
            "fax_number": "978-475-0008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 HAVERHILL ST",
            "address_2": "SUITE 104",
            "city": "ANDOVER",
            "state": "MA",
            "postal_code": "018101509",
            "telephone_number": "978-475-0708",
            "fax_number": "978-475-0008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK B. ABELSON, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DEMPSEY",
        "authorized_official_first_name": "ELLYN",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "978-684-7512"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "MA",
            "license": "2610",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSSBLUESHIELD",
            "identifier": "W20103",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Andover Eye Asociates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Andover, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.