Massachusetts Eye Surgery LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

MASSACHUSETTS EYE SURGERY LLC

Practice address

182 W Central St Ste 102
Natick, MA 01760-3756

Phone

(508) 903-0003

NPI assigned

Sep 4, 2024

Organization subpart

No

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

Authorized official

Name

William Tang

Title

Medical Director

Phone

(508) 903-0003

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1725408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727740800000",
    "number": "1881429306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "182 W CENTRAL ST STE 102",
            "city": "NATICK",
            "state": "MA",
            "postal_code": "017603756",
            "telephone_number": "508-903-0003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "182 W CENTRAL ST STE 102",
            "city": "NATICK",
            "state": "MA",
            "postal_code": "017603756",
            "telephone_number": "508-903-0003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASSACHUSETTS EYE SURGERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-04",
        "last_updated": "2024-10-01",
        "certification_date": "2024-10-01",
        "status": "A",
        "authorized_official_last_name": "TANG",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "508-903-0003"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QS0132X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ophthalmologic Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Therese Ibrahim Licsw PLLC
• Jorge L Marzagao, OTA
• Jedd Mason
• Lydia Grace Mason, PT, DPT
• Mass General Brigham Urgent Care LLC
• Teresa Mastroianni, FNP
• Stacey Martin Mastromatteo, LICSW
• Maura Shannon Therapeutic Massage
• Kemberly Mauricio, COTA
• Max Abugov LLC

• Ambulatory Surgical Clinic/Center in Natick, MA
• Providers in Natick, MA by specialty
• Ambulatory Surgical Clinic/Center in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2024; 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.