NPIMap

Organization Active NPI

Anzaldi Eye Associates LLC

  • Optometrist
  • Lynn, MA
National Provider Identifier
1831488675
Registry record updated Feb 8, 2012
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Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2985 Issued in MA
Legal business name
ANZALDI EYE ASSOCIATES LLC
Doing business as
Thomas M. Anzaldi, O.D.
Practice address
427 Lynnway
Lynn, MA 01905-3028
Phone
(781) 599-2773
Fax
(781) 592-7215
NPI assigned
Apr 1, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2012

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

Authorized official

Name
Dr. Thomas M Anzaldi, O.D.
Title
Owner
Phone
(781) 599-2773

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 2985 MA Primary

Addresses

Primary practice location

427 Lynnway
Lynn, MA 01905-3028

Mailing address

427 Lynnway
Lynn, MA 01905-3028
Phone (781) 599-2773

Other identifiers 1

IdentifierTypeStateIssuer
0345059MedicaidMA

Other names 1

  • Thomas M. Anzaldi, O.D. Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1301616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328659200000",
    "number": "1831488675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "427 LYNNWAY",
            "city": "LYNN",
            "state": "MA",
            "postal_code": "019053028",
            "telephone_number": "781-599-2773",
            "fax_number": "781-592-7215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "427 LYNNWAY",
            "city": "LYNN",
            "state": "MA",
            "postal_code": "019053028",
            "telephone_number": "781-599-2773",
            "fax_number": "781-592-7215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANZALDI EYE ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-01",
        "last_updated": "2012-02-08",
        "status": "A",
        "authorized_official_last_name": "ANZALDI",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "781-599-2773",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MA",
            "license": "2985",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0345059",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Thomas M. Anzaldi, O.D.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lynn, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2012; 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.