NPIMap

Organization Active NPI

Eyes on Randolph LLC

  • Optometrist
  • Randolph, MA
National Provider Identifier
1861929598
Registry record updated Sep 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4888 Issued in MA
Legal business name
EYES ON RANDOLPH LLC
Practice address
1157 N Main St
Randolph, MA 02368-2135
Phone
(781) 963-2333
NPI assigned
May 12, 2017
Last updated
Sep 21, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2017

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

Authorized official

Name
Nikhil SainiNPI 1316226608
Title
President
Phone
(717) 318-4365

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 4888 MA Primary

Addresses

Primary practice location

1157 N Main St
Randolph, MA 02368-2135

Mailing address

1157 N Main St
Randolph, MA 02368-2135

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170801000627 MA Part B Supplier - Clinic/Group Practice 9436420064 Receives reassigned benefits from 3 practitioners
Practice locations: Randolph, MA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1494547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1505952000000",
    "number": "1861929598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1157 N MAIN ST",
            "city": "RANDOLPH",
            "state": "MA",
            "postal_code": "023682135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1157 N MAIN ST",
            "city": "RANDOLPH",
            "state": "MA",
            "postal_code": "023682135",
            "telephone_number": "781-963-2333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYES ON RANDOLPH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-12",
        "last_updated": "2017-09-21",
        "status": "A",
        "authorized_official_last_name": "SAINI",
        "authorized_official_first_name": "NIKHIL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "717-318-4365"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MA",
            "license": "4888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Randolph, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2017; 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.