Massachusetts South Eastern Eye Center, Inc.

Primary specialty

Ophthalmic Technician/TechnologistTaxonomy code 156FX1100X

Legal business name

MASSACHUSETTS SOUTH EASTERN EYE CENTER, INC.

Practice address

40 Church Ave
Suite 201
Wareham, MA 02571-2093

Phone

(508) 295-3193

Fax

(508) 295-4635

NPI assigned

Jul 12, 2007

Organization subpart

Yes

Parent organization

MASSACHUSETTS SOUTH EASTERN EYE CENTER, INCAs reported in NPPES

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

Authorized official

Name

Charles C White Jr., M.D.

Title

Ophthalmologist

Phone

(508) 295-3193

Specialties & licenses 2

Addresses

Other identifiers 3

Part of

Mass South Eastern Eye

Locations

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

{
    "created_epoch": "1184198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361232000000",
    "number": "1841499670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 CHURCH ST AVENUE",
            "address_2": "SUITE 201",
            "city": "WAREHAM",
            "state": "MA",
            "postal_code": "025712093",
            "telephone_number": "508-295-3193",
            "fax_number": "508-295-4635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 CHURCH AVE",
            "address_2": "SUITE 201",
            "city": "WAREHAM",
            "state": "MA",
            "postal_code": "025712093",
            "telephone_number": "508-295-3193",
            "fax_number": "508-295-4635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASSACHUSETTS SOUTH EASTERN EYE CENTER, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MASSACHUSETTS SOUTH EASTERN EYE CENTER, INC",
        "enumeration_date": "2007-07-12",
        "last_updated": "2013-02-19",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OPHTHALMOLOGIST",
        "authorized_official_telephone_number": "508-295-3193",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "156FX1100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician/Technologist, Ophthalmic",
            "state": "MA",
            "license": null,
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "MA",
            "license": "53631",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110071159A",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9758178",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTHCARE",
            "identifier": "715421",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Helena Manning- Shannon, PT, GCS
• Alexandra Marcal
• Allison Nicole Martin, OTR/L
• Leslie Jeanne Mason, LICSW
• Mass Optometric Associates, PLLC (Mass Optometric Associates PC)
• David Maxfield, LICSW
• Sue Maxwell Lewis, M.ED., LMHC, LMFT
• Madison Mazoyer, PA-C
• Hannah Elizabeth McCann, MSW, LADC I
• Roo Bug McConnell

• Ophthalmic Technician/Technologist in Wareham, MA
• Providers in Wareham, MA by specialty
• Ophthalmic Technician/Technologist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2013; 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.