Organization Active NPI

Groden Eye Care PC

  • Ophthalmology Physician
  • Norwood, MA
National Provider Identifier
1962408278
Registry record updated Mar 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
42474 Issued in MA
Legal business name
GRODEN EYE CARE PC
Practice address
13 E Hoyle St
Norwood, MA 02062-3405
Phone
(781) 769-0987
Fax
(781) 769-0962
NPI assigned
Jun 22, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2015

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

Authorized official

Name
Joseph M Groden, MD
Title
Medical Doctor
Phone
(781) 769-0987

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X 42474 MA Primary

Addresses

Primary practice location

13 E Hoyle St
Norwood, MA 02062-3405

Mailing address

13 E Hoyle St
Norwood, MA 02062-3405
Phone (781) 769-0987

Other identifiers 3

IdentifierTypeStateIssuer
601393OtherMATUFTS
9704311MedicaidMA
C21043OtherMABLUE SHIELD

National Provider Directory

National Provider Directory

Locations

13 E Hoyle St
Norwood, MA 02062
Phone (781) 551-8002

NPI Registry JSON

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

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426809600000",
    "number": "1962408278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 E HOYLE ST",
            "city": "NORWOOD",
            "state": "MA",
            "postal_code": "020623405",
            "telephone_number": "781-769-0987",
            "fax_number": "781-769-0962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 E HOYLE ST",
            "city": "NORWOOD",
            "state": "MA",
            "postal_code": "020623405",
            "telephone_number": "781-769-0987",
            "fax_number": "781-769-0962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRODEN EYE CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-22",
        "last_updated": "2015-03-20",
        "status": "A",
        "authorized_official_last_name": "GRODEN",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "781-769-0987",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "MA",
            "license": "42474",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "601393",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9704311",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "C21043",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwood, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2015; 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.