Plymouth Optical, Inc.

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

4195 Issued in MA

Legal business name

PLYMOUTH OPTICAL, INC.

Doing business as

Specs Perry

Practice address

809 Williams St
Longmeadow, MA 01106-2060

Phone

(413) 567-3944

NPI assigned

Apr 12, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Gregory Nicholas Andros, RDO

Title

Owner

Phone

(413) 567-3944

Specialties & licenses 1

Addresses

Other names 1

• Specs Perry Doing business as

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237766400000",
    "number": "1982828091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "809 WILLIAMS ST",
            "city": "LONGMEADOW",
            "state": "MA",
            "postal_code": "011062060",
            "telephone_number": "413-567-3944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 WILLIAMS ST",
            "city": "LONGMEADOW",
            "state": "MA",
            "postal_code": "011062060",
            "telephone_number": "413-567-3944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLYMOUTH OPTICAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-12",
        "last_updated": "2009-03-23",
        "status": "A",
        "authorized_official_last_name": "ANDROS",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "NICHOLAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "413-567-3944",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RDO"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "MA",
            "license": "4195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Specs Perry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Piper Therapy & Associates, LLC
• Piper Therapy and Associates
• Ellen Piper
• Malgorzata Platz, NP
• Pleasant View Vision Care
• Mark Pohlman, MD
• Jay M Pomerantz, M.D.
• Andrea Powell
• Julian Power, LCSW
• Robin E Powers, MD

• Eyewear Supplier in Longmeadow, MA
• Providers in Longmeadow, MA by specialty
• Eyewear Supplier in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.