Active NPI
Wink Eyecare, Inc.
- Optometrist
- South Boston, MA
National Provider Identifier
1992126023
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 4097
- Legal business name
- WINK EYECARE, INC.
- Practice address
- 647 E Broadway
South Boston, MA 02127-1503 - Phone
- (617) 823-7534
- NPI assigned
- Dec 16, 2013
- Last updated
- Dec 16, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Taline Farra, OD, MSC.
- Title
- Optometrist
- Phone
- (617) 823-7534
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 4097 | MA | Primary |
Addresses
Primary practice location
647 E Broadway
South Boston, MA 02127-1503
Mailing address
125 Coolidge Ave
Unit 502
Watertown, MA 02472-2871
Phone (617) 823-7534
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
647 E Broadway
South Boston, MA 02127
Phone (617) 269-9465
Practitioners & affiliated clinicians
Practitioners 3
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.
-
- Optometrist
- South Boston, MA
- NPI 1740363399
-
- Optometrist
- Boston, MA
- NPI 1770275893
-
- Optometrist
- Boston, MA
- NPI 1891285409
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1387152000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1387152000000",
"number": "1992126023",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 COOLIDGE AVE",
"address_2": "UNIT 502",
"city": "WATERTOWN",
"state": "MA",
"postal_code": "024722871",
"telephone_number": "617-823-7534"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "647 E BROADWAY",
"city": "SOUTH BOSTON",
"state": "MA",
"postal_code": "021271503",
"telephone_number": "617-823-7534"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WINK EYECARE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2013-12-16",
"last_updated": "2013-12-16",
"status": "A",
"authorized_official_last_name": "FARRA",
"authorized_official_first_name": "TALINE",
"authorized_official_title_or_position": "OPTOMETRIST",
"authorized_official_telephone_number": "617-823-7534",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "OD, MSC."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MA",
"license": "4097",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in South Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2013; 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.