Organization Active NPI

Puzio Eyecare Associates, LLC

  • Optometrist
  • South Dennis, MA
National Provider Identifier
1972813236
Registry record updated Feb 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2462 Issued in MA
Legal business name
PUZIO EYECARE ASSOCIATES, LLC
Practice address
860 Route 134 Ste 8
South Dennis, MA 02660-2577
Phone
(508) 394-2211
Fax
(508) 398-4471
NPI assigned
Oct 20, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2022

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

Authorized official

Name
Matthew S Puzio, ODNPI 1972610814
Title
Owner
Phone
(508) 394-2211

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 2462 MA Primary

Addresses

Primary practice location

860 Route 134 Ste 8
South Dennis, MA 02660-2577

Mailing address

PO Box 1412
South Dennis, MA 02660-1412
Phone (508) 394-2211

Other practice location 1

119 Route 137
E Harwich, MA 02645-2153
Phone (508) 432-3444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20110215000489 MA Part B Supplier - Clinic/Group Practice 7517147010 Receives reassigned benefits from 2 practitioners
Practice locations: East Harwich, MA; South Dennis, MA
O20110720000774 MA DME Supplier - Physician - OptometristDME Supplier - Optician 7517147010 Practice locations: South Dennis, MA

National Provider Directory

National Provider Directory

Locations

119 Route 137
Harwich, MA 02645
Phone (508) 432-8686

38 Route 134
South Dennis, MA 02660
Phone (508) 394-2211

Practitioners & affiliated clinicians

Practitioners 2

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": "1287532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645574400000",
    "number": "1972813236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1412",
            "city": "SOUTH DENNIS",
            "state": "MA",
            "postal_code": "026601412",
            "telephone_number": "508-394-2211",
            "fax_number": "508-398-4471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "860 ROUTE 134 STE 8",
            "city": "SOUTH DENNIS",
            "state": "MA",
            "postal_code": "026602577",
            "telephone_number": "508-394-2211",
            "fax_number": "508-398-4471"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "119 Route 137",
            "address_purpose": "LOCATION",
            "city": "E Harwich",
            "state": "MA",
            "postal_code": "026452153",
            "country_code": "US",
            "telephone_number": "508-432-3444",
            "fax_number": "508-432-3401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PUZIO EYECARE ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-20",
        "last_updated": "2022-02-23",
        "certification_date": "2022-02-23",
        "status": "A",
        "authorized_official_last_name": "PUZIO",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "508-394-2211",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MA",
            "license": "2462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Dennis, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2022; 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.