Organization Active NPI

Essex Vitreo Retinal Services, Inc.

  • Ophthalmology Physician
  • Stoughton, MA
National Provider Identifier
1922233451
Registry record updated May 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
73674 Issued in MA
Legal business name
ESSEX VITREO RETINAL SERVICES, INC.
Practice address
150 York St
NE Sinai Hospital and Rehab Center
Stoughton, MA 02072
Phone
(617) 364-4850
Fax
(617) 364-4851
NPI assigned
May 28, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2010

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

Authorized official

Name
Dr. Willaim G Stinson, MD
Title
President
Phone
(978) 922-1390

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X 73674 MA Primary

Addresses

Primary practice location

150 York St
NE Sinai Hospital and Rehab Center
Stoughton, MA 02072

Mailing address

100 Cummings Ctr
Suite 109G
Beverly, MA 01915-6115
Phone (978) 922-1390

National Provider Directory

National Provider Directory

Locations

100 Cummings Ctr
Ste 109G
Beverly, MA 01915
Phone (978) 922-1390

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1243468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274140800000",
    "number": "1922233451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 CUMMINGS CTR",
            "address_2": "SUITE 109G",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019156115",
            "telephone_number": "978-922-1390",
            "fax_number": "978-922-1443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 YORK ST",
            "address_2": "NE SINAI HOSPITAL AND REHAB CENTER",
            "city": "STOUGHTON",
            "state": "MA",
            "postal_code": "02072",
            "telephone_number": "617-364-4850",
            "fax_number": "617-364-4851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESSEX VITREO RETINAL SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-28",
        "last_updated": "2010-05-18",
        "status": "A",
        "authorized_official_last_name": "STINSON",
        "authorized_official_first_name": "WILLAIM",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "978-922-1390",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "MA",
            "license": "73674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stoughton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2010; 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.