Organization Active NPI

Dr Scott W Sylvia & Assoc PC

  • Optometrist
  • Cambridge, MA
National Provider Identifier
1831153998
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3306ODT Issued in MA
Legal business name
DR SCOTT W SYLVIA & ASSOC PC
Practice address
2038 Mass Ave
Cambridge, MA 02140
Phone
(617) 864-3147
Fax
(617) 492-7918
NPI assigned
Apr 14, 2006
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
Scott Wayne Sylvia, ODNPI 1457316259
Title
President
Phone
(617) 864-3147

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 3306ODT MA Primary

Addresses

Primary practice location

2038 Mass Ave
Cambridge, MA 02140

Mailing address

2038 Mass Ave
Cambridge, MA 02140
Phone (617) 864-3147

Other identifiers 4

IdentifierTypeStateIssuer
W20402OtherMABLUE CROSS MASS GROUP
003306OtherMATUFTS HEALTH PLAN
153430OtherMAHARVARD PILGRIM
W16106OtherMABLUECROSS MASS INDIVIDUAL

National Provider Directory

National Provider Directory

Locations

2038 Massachusetts Ave
Cambridge, MA 02140
Phone (617) 864-0204

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": "1144972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1831153998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2038 MASS AVE",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "02140",
            "telephone_number": "617-864-3147",
            "fax_number": "617-492-7918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2038 MASS AVE",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "02140",
            "telephone_number": "617-864-3147",
            "fax_number": "617-492-7918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR SCOTT W SYLVIA & ASSOC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SYLVIA",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "617-864-3147",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MA",
            "license": "3306ODT",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS MASS GROUP",
            "identifier": "W20402",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN",
            "identifier": "003306",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "153430",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS MASS INDIVIDUAL",
            "identifier": "W16106",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cambridge, 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.