NPIMap

Organization Active NPI

Comfort Vision Inc

  • Optometrist
  • Quincy, MA
National Provider Identifier
1831381045
Registry record updated May 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4555 Issued in MA
Legal business name
COMFORT VISION INC
Practice address
543 Washington St
Quincy, MA 02169-7205
Phone
(617) 657-0205
Fax
(617) 657-0206
NPI assigned
Aug 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2022

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

Authorized official

Name
Trung Van BuiNPI 1073537775
Title
President
Phone
(508) 875-9636

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 4555 MA Primary

Addresses

Primary practice location

543 Washington St
Quincy, MA 02169-7205

Mailing address

543 Washington St
Quincy, MA 02169-7205
Phone (617) 657-0205

Other practice location 1

60 Quincy Shore Dr Unit A
Quincy, MA 02171-2901
Phone (617) 302-3644

Other identifiers 13

IdentifierTypeStateIssuer
7784859OtherMACIGNA
W16485OtherMABCBS MA
53944OtherMADAVIS VISION
AA82048OtherMAHARVARD PILGRIM
0708836MedicaidMA
495705OtherMATUFTS
0708844MedicaidMA
132152OtherMAAETNA
3603559OtherMACIGNA
MA4545OtherMAEYEMED
110078170/AMedicaidMA
W16487OtherMABCBS MA
AA82058OtherMAHARVARD PILGRIM

Other names 2

  • Comfort Vision Doing business as
  • Quincy Shore Eye Care Doing business as

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address TRUNGBUIOD@QUINCYSHOREEYECARE.COM Direct
Direct Messaging Address TRUNGBUIOD@COMFORTVISIONINC.COM Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150709001873 MA Part B Supplier - Clinic/Group Practice 0941512552 Receives reassigned benefits from 3 practitioners
Practice locations: Quincy, MA

National Provider Directory

National Provider Directory

Locations

221 Quincy Ave
#B
Quincy, MA 02169
Phone (617) 657-0205

543 Washington St
Quincy, MA 02169
Phone (617) 657-0205

221 Quincy Ave
Unit B
Quincy, MA 02169

60 Quincy Shore Dr
#A
Quincy, MA 02171
Phone (617) 302-3644

Interoperability endpoints

  • Direct secure messaging: trungbuiod@quincyshoreeyecare.com

Practitioners & affiliated clinicians

Practitioners 3

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": "1186790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653091200000",
    "number": "1831381045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "543 WASHINGTON ST",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021697205",
            "telephone_number": "617-657-0205",
            "fax_number": "617-657-0206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "543 WASHINGTON ST",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021697205",
            "telephone_number": "617-657-0205",
            "fax_number": "617-657-0206"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "60 Quincy Shore Dr Unit A",
            "address_purpose": "LOCATION",
            "city": "Quincy",
            "state": "MA",
            "postal_code": "021712901",
            "country_code": "US",
            "telephone_number": "617-302-3644",
            "fax_number": "617-302-4245",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COMFORT VISION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-11",
        "last_updated": "2022-05-21",
        "certification_date": "2022-05-21",
        "status": "A",
        "authorized_official_last_name": "BUI",
        "authorized_official_first_name": "TRUNG",
        "authorized_official_middle_name": "VAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "508-875-9636"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MA",
            "license": "4555",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "7784859",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS MA",
            "identifier": "W16485",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAVIS VISION",
            "identifier": "53944",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "AA82048",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0708836",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "495705",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0708844",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "132152",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "3603559",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED",
            "identifier": "MA4545",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110078170/A",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS MA",
            "identifier": "W16487",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "AA82058",
            "state": "MA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "TRUNGBUIOD@QUINCYSHOREEYECARE.COM",
            "affiliation": "N",
            "endpointDescription": "BUSINESS EMAIL",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "ALL BUSINESS EMAIL",
            "address_1": "60 Quincy Shore Dr Unit A",
            "city": "Quincy",
            "state": "MA",
            "country_code": "US",
            "postal_code": "021712901",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "TRUNGBUIOD@COMFORTVISIONINC.COM",
            "affiliation": "N",
            "endpointDescription": "BUSINESS EMAIL",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "ALL BUSINESS CONTENT",
            "address_1": "543 Washington St",
            "city": "Quincy",
            "state": "MA",
            "country_code": "US",
            "postal_code": "021697205",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Comfort Vision",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Quincy Shore Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Quincy, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.