Active NPI
Eye Care PC
- Ophthalmology Physician
- Salem, MA
National Provider Identifier
1821003641
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- Legal business name
- EYE CARE PC
- Practice address
- 400 Highland Ave
Salem, MA 01970-7003 - Phone
- (978) 744-1177
- Fax
- (978) 910-0125
- NPI assigned
- Jul 30, 2006
- 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. Randall Patkin, M.D.
- Title
- Vice-President
- Phone
- (781) 581-7333
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | Primary |
Addresses
Primary practice location
400 Highland Ave
Salem, MA 01970-7003
Mailing address
400 Highland Ave
Suite 20
Salem, MA 01970-7003
Phone (978) 744-1177
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| M12747 | Other | MA | MEDICARE |
National Provider Directory
National Provider DirectoryLocations
225 Boston St
Ste 305
Lynn, MA 01904
Phone (781) 581-7333
Practitioners & affiliated clinicians
Practitioners 1
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": "1154217600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1262563200000",
"number": "1821003641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 HIGHLAND AVE",
"address_2": "SUITE 20",
"city": "SALEM",
"state": "MA",
"postal_code": "019707003",
"telephone_number": "978-744-1177",
"fax_number": "978-910-0125"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 HIGHLAND AVE",
"city": "SALEM",
"state": "MA",
"postal_code": "019707003",
"telephone_number": "978-744-1177",
"fax_number": "978-910-0125"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EYE CARE PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-30",
"last_updated": "2010-01-04",
"status": "A",
"authorized_official_last_name": "PATKIN",
"authorized_official_first_name": "RANDALL",
"authorized_official_title_or_position": "VICE-PRESIDENT",
"authorized_official_telephone_number": "781-581-7333",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "M12747",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Salem, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.