NPIMap

Organization Active NPI

Eye Physicians of Northampton, PC

  • Ophthalmology Physician
  • Florence, MA
National Provider Identifier
1932160504
Registry record updated May 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
EYE PHYSICIANS OF NORTHAMPTON, PC
Practice address
40 Main St
Suite 106
Florence, MA 01062-3100
Phone
(413) 584-6422
Fax
(413) 584-4346
NPI assigned
Mar 31, 2006
Last updated
May 27, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2009

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

Authorized official

Name
Dr. Bruce S. Bleiman, M.D.NPI 1518947076
Title
Owner/Partner
Phone
(413) 584-6422

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X NU Primary

Addresses

Primary practice location

40 Main St
Suite 106
Florence, MA 01062-3100

Mailing address

40 Main St
Suite 106
Florence, MA 01062-3100
Phone (413) 584-6422

Other identifiers 5

IdentifierTypeStateIssuer
M11749OtherMABLUE CROSS BLUE SHIELD MA
CK0668OtherMAMEDICARE RR
9727884MedicaidMA
709455OtherMATUFTS HEALTH PLAN
379460OtherMAUNITED HEALTH CARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050831000229 MA Part B Supplier - Clinic/Group Practice 1052343951 Receives reassigned benefits from 7 practitioners
Practice locations: Amherst, MA; Florence, MA

National Provider Directory

National Provider Directory
Tax ID family
Eye Physicians of Northampton2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

40 Main St
Ste 106
Northampton, MA 01062
Phone (413) 584-6422

Practitioners & affiliated clinicians

Practitioners 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243382400000",
    "number": "1932160504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 MAIN ST",
            "address_2": "SUITE 106",
            "city": "FLORENCE",
            "state": "MA",
            "postal_code": "010623100",
            "telephone_number": "413-584-6422",
            "fax_number": "413-584-4346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 MAIN ST",
            "address_2": "SUITE 106",
            "city": "FLORENCE",
            "state": "MA",
            "postal_code": "010623100",
            "telephone_number": "413-584-6422",
            "fax_number": "413-584-4346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE PHYSICIANS OF NORTHAMPTON, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-31",
        "last_updated": "2009-05-27",
        "status": "A",
        "authorized_official_last_name": "BLEIMAN",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "OWNER/PARTNER",
        "authorized_official_telephone_number": "413-584-6422",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD MA",
            "identifier": "M11749",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "CK0668",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9727884",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN",
            "identifier": "709455",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "379460",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2009; 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.

Verify at the official NPI Registry.