Nev Burlington LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

NEV BURLINGTON LLC

Doing business as

Pearle Vision

Practice address

101 Middlesex Tpke
Burlington, MA 01803-4934

Phone

(781) 270-9800

NPI assigned

Jul 23, 2020

Last updated

Jul 23, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Carmine Mazzarella, DO

Title

Manager Owner / Optician

Phone

(781) 910-5555

Specialties & licenses 1

Addresses

Other names 1

• Pearle Vision Doing business as

Electronic endpoints 1

Locations

Interoperability endpoints

• Direct secure messaging: carmine@pvsaugus.com

Practitioners 1

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.

• Carminie Mazzarella, R.D.O.

  • Optician
  • Saugus, MA
  • NPI 1912137076
  NPD

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

{
    "created_epoch": "1595462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595462400000",
    "number": "1942819172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 PITMAN DR",
            "city": "READING",
            "state": "MA",
            "postal_code": "018671959",
            "telephone_number": "781-910-5555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 MIDDLESEX TPKE",
            "city": "BURLINGTON",
            "state": "MA",
            "postal_code": "018034934",
            "telephone_number": "781-270-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEV BURLINGTON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-23",
        "last_updated": "2020-07-23",
        "certification_date": "2020-07-23",
        "status": "A",
        "authorized_official_last_name": "MAZZARELLA",
        "authorized_official_first_name": "CARMINE",
        "authorized_official_title_or_position": "MANAGER OWNER  / OPTICIAN",
        "authorized_official_telephone_number": "781-910-5555",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "carmine@pvsaugus.com",
            "affiliation": "N",
            "endpointDescription": "add secure to subject line",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "101 Middlesex Tpke",
            "city": "Burlington",
            "state": "MA",
            "country_code": "US",
            "postal_code": "018034934",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Pearle Vision",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Durable Medical Equipment & Medical Supplies in Burlington, MA
• Providers in Burlington, MA by specialty
• Durable Medical Equipment & Medical Supplies in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2020; 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.