The Lions Orthoptic Clinic of Western Ma Inc

Primary specialty

OrthoptistTaxonomy code 156FX1900X

Legal business name

THE LIONS ORTHOPTIC CLINIC OF WESTERN MA INC

Practice address

130 Maple St
Suite 326
Springfield, MA 01103-2202

Phone

(413) 739-0147

Fax

(413) 739-0146

NPI assigned

Jul 26, 2007

Last updated

Apr 20, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

James A Gracia

Title

President of Corporation

Phone

(413) 527-8318

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Lions Orthoptic Clinic Other name

Locations

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

{
    "created_epoch": "1185408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1881884856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 MAPLE ST",
            "address_2": "SUITE 326",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011032202",
            "telephone_number": "413-739-0147",
            "fax_number": "413-739-0146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 MAPLE ST",
            "address_2": "SUITE 326",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011032202",
            "telephone_number": "413-739-0147",
            "fax_number": "413-739-0146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE LIONS ORTHOPTIC CLINIC OF WESTERN MA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-26",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "GRACIA",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT OF CORPORATION",
        "authorized_official_telephone_number": "413-527-8318"
    },
    "taxonomies": [
        {
            "code": "156FX1900X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Orthoptist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HNE",
            "identifier": "13955",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "613568",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lions Orthoptic Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Technician/Technologist in Springfield, MA
• Providers in Springfield, MA by specialty
• Technician/Technologist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.