Active NPI
Essex Vitreo Retinal Services, Inc.
- Ophthalmology Physician
- Stoughton, MA
National Provider Identifier
1922233451
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 73674
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 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 DirectoryLocations
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.
-
- Ophthalmology Physician
- Beverly, MA
- NPI 1609823392
-
- Ophthalmology Physician
- Largo, FL
- NPI 1710961487
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.