Eye Health Services, Inc.

Primary specialty

Corneal and Contact Management OptometristTaxonomy code 152WC0802X

Legal business name

EYE HEALTH SERVICES, INC.

Practice address

1900 Crown Colony Dr
Suite 301
Quincy, MA 02169-0931

Phone

(617) 472-5242

Fax

(617) 770-2975

NPI assigned

Aug 10, 2006

Organization subpart

No

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

Authorized official

Name

Eric H Johnson, M.D.

Title

President/Eye Health Services

Phone

(617) 472-5242

Specialties & licenses 1

Addresses

Other identifiers 3

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221091200000",
    "number": "1902817687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 CROWN COLONY DR",
            "address_2": "SUITE 301",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021690931",
            "telephone_number": "617-472-5242",
            "fax_number": "617-770-2975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 CROWN COLONY DR",
            "address_2": "SUITE 301",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021690931",
            "telephone_number": "617-472-5242",
            "fax_number": "617-770-2975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2008-09-11",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT/EYE HEALTH SERVICES",
        "authorized_official_telephone_number": "617-472-5242",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9711317",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "93797",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN",
            "identifier": "600020",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Corneal and Contact Management Optometrist in Quincy, MA
• Providers in Quincy, MA by specialty
• Corneal and Contact Management Optometrist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.