Boston Vision Works Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

3912 Issued in MA

Legal business name

BOSTON VISION WORKS INC

Practice address

335 Main Street
Saugus, MA 01906

Phone

(978) 857-6320

NPI assigned

Jan 3, 2007

Organization subpart

No

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

Authorized official

Name

David Paul Mignault, ODNPI 1063576809

Title

President

Phone

(978) 857-6320

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David Paul Mignault, OD

  • Optometrist
  • Saugus, MA
  • NPI 1063576809
  Medicare reassignment Care Compare group NPD Authorized official
• Lisa Marie Pilleri, OD

  • Optometrist
  • Saugus, MA
  • NPI 1013074533
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205280000000",
    "number": "1962569483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "335 MAIN STREET",
            "city": "SAUGUS",
            "state": "MA",
            "postal_code": "01906",
            "telephone_number": "978-857-6320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "335 MAIN STREET",
            "city": "SAUGUS",
            "state": "MA",
            "postal_code": "01906",
            "telephone_number": "978-857-6320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOSTON VISION WORKS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-03",
        "last_updated": "2008-03-12",
        "status": "A",
        "authorized_official_last_name": "MIGNAULT",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "978-857-6320",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "MA",
            "license": "3689",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "MA",
            "license": "3912",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0392332",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Matthew Berube
• Sarah Elizabeth Bettencourt, COTA/L
• Gregory Bingham, A-GNP
• Diane Marie Blengs, M.S.,OTR/L
• Boston Center for Recovery, LLC (Psyclarity Health Massachusetts)
• Stephanie Boudrow
• Giovanna Sahione Braido
• Briggs Chiropractic
• Briggs Chiropractic Office, P.C.
• Keith Allan Briggs, D.C.

• Optometrist in Saugus, MA
• Providers in Saugus, MA by specialty
• Optometrist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2008; 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.