Organization Active NPI

Worcester Ophthalmology Associates, Inc

  • Ophthalmology Physician
  • Worcester, MA
National Provider Identifier
1992755359
Registry record updated Aug 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
WORCESTER OPHTHALMOLOGY ASSOCIATES, INC
Practice address
25 Oak Ave
Worcester, MA 01605-2751
Phone
(508) 421-2010
Fax
(508) 756-8078
NPI assigned
May 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2014

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

Authorized official

Name
Mr. Stuart W Weisman, MDNPI 1922023787
Title
President Worcester Ophthalmology
Phone
(508) 421-2010

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
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

25 Oak Ave
Worcester, MA 01605-2751

Mailing address

25 Oak Ave
Worcester, MA 01605-2751
Phone (508) 421-2010

Other identifiers 2

IdentifierTypeStateIssuer
M13156OtherBLUE SHIELD
9718885MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050425000675 MA Part B Supplier - Clinic/Group Practice 6901844471 Receives reassigned benefits from 8 practitioners
Practice locations: Worcester, MA

National Provider Directory

National Provider Directory

Locations

25 Oak Ave
Ste A
Worcester, MA 01605

25 Oak Ave
Ste 1
Worcester, MA 01605

Practitioners & affiliated clinicians

Practitioners 9

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": "1147219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408579200000",
    "number": "1992755359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 OAK AVE",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016052751",
            "telephone_number": "508-421-2010",
            "fax_number": "508-756-8078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 OAK AVE",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016052751",
            "telephone_number": "508-421-2010",
            "fax_number": "508-756-8078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WORCESTER OPHTHALMOLOGY ASSOCIATES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-10",
        "last_updated": "2014-08-21",
        "status": "A",
        "authorized_official_last_name": "WEISMAN",
        "authorized_official_first_name": "STUART",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT WORCESTER OPHTHALMOLOGY",
        "authorized_official_telephone_number": "508-421-2010",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "M13156",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9718885",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Worcester, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2014; 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.