Organization Active NPI

See Breeze Optical Corp.

  • Eyewear Supplier
  • Sandwich, MA
National Provider Identifier
1801918206
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
3514 Issued in MA
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

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
Dr. Stephen Paul Holmes Jr., O.D.
Title
Optometrist
Phone
(508) 888-3821

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1531115MedicaidMA

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.