Organization Active NPI

Neil P. Casey OD., PLLC

  • Optometrist
  • W. Boylston, MA
National Provider Identifier
1861756645
Registry record updated Jun 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3658 Issued in MA
Legal business name
NEIL P. CASEY OD., PLLC
Practice address
44 Sterling St
W
W. Boylston, MA 01583-1217
Phone
(508) 835-6200
Fax
(508) 835-3244
NPI assigned
Jun 27, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2012

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

Authorized official

Name
Neil P Casey, O.D.NPI 1043397532
Title
Owner
Phone
(508) 835-6200

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 3658 MA Primary

Addresses

Primary practice location

44 Sterling St
W
W. Boylston, MA 01583-1217

Mailing address

44 Sterling St
W. Boylston, MA 01583-1217
Phone (508) 835-6200

Other identifiers 1

IdentifierTypeStateIssuer
0356298MedicaidMA

National Provider Directory

National Provider Directory

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": "1340755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340755200000",
    "number": "1861756645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 STERLING ST",
            "city": "W. BOYLSTON",
            "state": "MA",
            "postal_code": "015831217",
            "telephone_number": "508-835-6200",
            "fax_number": "508-835-3244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 STERLING ST",
            "address_2": "W",
            "city": "W. BOYLSTON",
            "state": "MA",
            "postal_code": "015831217",
            "telephone_number": "508-835-6200",
            "fax_number": "508-835-3244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEIL P. CASEY OD., PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-27",
        "last_updated": "2012-06-27",
        "status": "A",
        "authorized_official_last_name": "CASEY",
        "authorized_official_first_name": "NEIL",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "508-835-6200",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MA",
            "license": "3658",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0356298",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 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.