Active NPI
Eye Health Services,Inc.
- Eyewear Supplier
- South Yarmouth, MA
National Provider Identifier
1942360615
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Eyewear Supplier
- Legal business name
- EYE HEALTH SERVICES,INC.
- Practice address
- 23 Whites Path
A
South Yarmouth, MA 02664-1221 - Phone
- (508) 398-6367
- Fax
- (508) 398-7440
- NPI assigned
- Dec 11, 2006
- 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. Paul J Wasson, M.D.
- Title
- Clerk
- Phone
- (617) 472-5242
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | 5150 | ||
| Eyewear Supplier | 332H00000X | Primary |
Addresses
Primary practice location
23 Whites Path
A
South Yarmouth, MA 02664-1221
Mailing address
1900 Crown Colony Drive
Ste 301
Quincy, MA 02169-0931
Phone (617) 472-5242
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9711317 | Medicaid | MA |
National Provider Directory
National Provider DirectoryLocations
1900 Crown Colony Dr
Ste 301
Quincy, MA 02169
Phone (617) 472-5242
23 Whites Path
#A
South Yarmouth, MA 02664
Phone (508) 398-6367
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165795200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1371772800000",
"number": "1942360615",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1900 CROWN COLONY DRIVE",
"address_2": "STE 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": "23 WHITES PATH",
"address_2": "A",
"city": "SOUTH YARMOUTH",
"state": "MA",
"postal_code": "026641221",
"telephone_number": "508-398-6367",
"fax_number": "508-398-7440"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EYE HEALTH SERVICES,INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-11",
"last_updated": "2013-06-21",
"status": "A",
"authorized_official_last_name": "WASSON",
"authorized_official_first_name": "PAUL",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "CLERK",
"authorized_official_telephone_number": "617-472-5242",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Technician/Technologist, Optician",
"state": null,
"license": "5150",
"primary": false
},
{
"code": "332H00000X",
"taxonomy_group": "",
"desc": "Eyewear Supplier",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9711317",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in South Yarmouth, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.