Active NPI
Dream Vision LLC
- Optometrist
- Dorchester, MA
National Provider Identifier
1902216146
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- DREAM VISION LLC
- Practice address
- 1461 Dorchester Ave
Dorchester, MA 02122-1338 - Phone
- (617) 265-0728
- Fax
- (617) 265-0931
- NPI assigned
- Apr 28, 2014
- Last updated
- Jun 3, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ha Tien Le, OD/OWNER
- Title
- OD/Owner
- Phone
- (617) 265-0728
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | NU | Primary |
Addresses
Primary practice location
1461 Dorchester Ave
Dorchester, MA 02122-1338
Mailing address
1461 Dorchester Ave
Dorchester, MA 02122-1338
Phone (617) 265-0728
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1350 Dorchester Ave
Dorchester, MA 02122
Phone (617) 265-0728
1461 Dorchester Ave
Dorchester, MA 02122
Phone (617) 265-0728
Practitioners & affiliated clinicians
Practitioners 3
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.
-
- Optometrist
- Lawrence, MA
- NPI 1558471672
-
- Optometrist
- Dorchester, MA
- NPI 1912253386
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1398643200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1591142400000",
"number": "1902216146",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1461 DORCHESTER AVE",
"city": "DORCHESTER",
"state": "MA",
"postal_code": "021221338",
"telephone_number": "617-265-0728",
"fax_number": "617-265-0931"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1461 DORCHESTER AVE",
"city": "DORCHESTER",
"state": "MA",
"postal_code": "021221338",
"telephone_number": "617-265-0728",
"fax_number": "617-265-0931"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DREAM VISION LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-04-28",
"last_updated": "2020-06-03",
"certification_date": "2020-06-03",
"status": "A",
"authorized_official_last_name": "LE",
"authorized_official_first_name": "HA",
"authorized_official_middle_name": "TIEN",
"authorized_official_title_or_position": "OD/OWNER",
"authorized_official_telephone_number": "617-265-0728",
"authorized_official_credential": "OD/OWNER"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dorchester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2020; 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.