Medford Optical Shop, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

1750 Issued in MA

Legal business name

MEDFORD OPTICAL SHOP, INC.

Practice address

16 High St
Medford, MA 02155-3820

Phone

(781) 391-8222

Fax

(781) 395-0311

NPI assigned

Nov 2, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Dana L. CohenNPI 1518356914

Title

Owner

Phone

(781) 391-8222

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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

• Dana L. Cohen, LICENSED OPTICIAN

  • Optician
  • Gloucester, MA
  • NPI 1518356914
  NPD Authorized official
• Chandra Lee Richardson

  • Optician
  • Medford, MA
  • NPI 1821772799
  NPD (past)
• Vivian Christina Schaefer, O.D.

  • Optometrist
  • Quincy, MA
  • NPI 1447691118
  NPD (past)

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992883136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 HIGH ST",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "021553820",
            "telephone_number": "781-391-8222",
            "fax_number": "781-395-0311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 HIGH ST",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "021553820",
            "telephone_number": "781-391-8222",
            "fax_number": "781-395-0311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDFORD OPTICAL SHOP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COHEN",
        "authorized_official_first_name": "DANA",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "781-391-8222",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MA",
            "license": "1750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Medford Family & Cosmetic Dentistry PLLC
• Medford Family Dental Care
• Medford Healthcare Group, LLC
• Medford Main Street Dental P.C.
• Medford Medical Laboratory Inc.
• Medford Square Dentistry and Implants LLC
• Medford Surgery Center LLC
• Medford TLC Dental Group, LLC
• Diego Medina Jr., PHARMD
• Meghan Dowd Murray Licsw LLC

• Durable Medical Equipment & Medical Supplies in Medford, MA
• Providers in Medford, MA by specialty
• Durable Medical Equipment & Medical Supplies in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.