Active NPI
See Breeze Optical Corp.
- Eyewear Supplier
- Sandwich, MA
National Provider Identifier
1801918206
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Eyewear Supplier
- License
- 3514
- Legal business name
- SEE BREEZE OPTICAL CORP.
- Practice address
- 68 Tupper Rd # 9
Sandwich, MA 02563-1872 - Phone
- (508) 888-3821
- NPI assigned
- Apr 4, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Stephen Paul Holmes Jr., O.D.
- Title
- Optometrist
- Phone
- (508) 888-3821
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Eyewear Supplier | 332H00000X | 3514 | MA | Primary |
Addresses
Primary practice location
68 Tupper Rd # 9
Sandwich, MA 02563-1872
Mailing address
PO Box 1660
Sandwich, MA 02563-1660
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1531115 | Medicaid | MA |
National Provider Directory
National Provider DirectoryLocations
68 Tupper Rd
Sandwich, MA 02563
Phone (508) 888-3800
68 Tupper Rd
#9
Sandwich, MA 02563
Phone (508) 888-3800
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175644800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1801918206",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1660",
"city": "SANDWICH",
"state": "MA",
"postal_code": "025631660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "68 TUPPER RD # 9",
"city": "SANDWICH",
"state": "MA",
"postal_code": "025631872",
"telephone_number": "508-888-3821"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SEE BREEZE OPTICAL CORP.",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-04",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "HOLMES",
"authorized_official_first_name": "STEPHEN",
"authorized_official_middle_name": "PAUL",
"authorized_official_title_or_position": "OPTOMETRIST",
"authorized_official_telephone_number": "508-888-3821",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "332H00000X",
"taxonomy_group": "",
"desc": "Eyewear Supplier",
"state": "MA",
"license": "3514",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1531115",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sandwich, 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.