Organization Active NPI

Comprehensive Eye Care of New England LLC

  • Optometrist
  • Natick, MA
National Provider Identifier
1932358447
Registry record updated Apr 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
COMPREHENSIVE EYE CARE OF NEW ENGLAND LLC
Practice address
209 W Central St
Suite 120
Natick, MA 01760-3765
Phone
(508) 720-1600
NPI assigned
Sep 9, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2020

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

Authorized official

Name
Laure J Elgas, OD
Title
Sole MBR
Phone
(508) 837-3790

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

209 W Central St
Suite 120
Natick, MA 01760-3765

Mailing address

209 W Central St
Suite 120
Natick, MA 01760-3765
Phone (508) 837-3790

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090216000111 MA Part B Supplier - Clinic/Group Practice 0143385740 Receives reassigned benefits from 4 practitioners
Practice locations: Natick, MA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "1220918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587340800000",
    "number": "1932358447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 W CENTRAL ST",
            "address_2": "SUITE 120",
            "city": "NATICK",
            "state": "MA",
            "postal_code": "017603765",
            "telephone_number": "508-837-3790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 W CENTRAL ST",
            "address_2": "SUITE 120",
            "city": "NATICK",
            "state": "MA",
            "postal_code": "017603765",
            "telephone_number": "508-720-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE EYE CARE OF NEW ENGLAND LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-09",
        "last_updated": "2020-04-20",
        "certification_date": "2020-04-20",
        "status": "A",
        "authorized_official_last_name": "ELGAS",
        "authorized_official_first_name": "LAURE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "SOLE MBR",
        "authorized_official_telephone_number": "508-837-3790",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Natick, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.

Verify at the official NPI Registry.