NPIMap

Organization Active NPI

Matthew J. Kaim

  • Optometrist
  • Winthrop, MA
National Provider Identifier
1992983894
Registry record updated Oct 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3084 Issued in MA
Legal business name
MATTHEW J. KAIM
Practice address
50 Jefferson St
Winthrop, MA 02152-2649
Phone
(617) 846-1734
Fax
(617) 846-3292
NPI assigned
Feb 4, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2009

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

Authorized official

Name
Dr. Matthew J Kaim, O.D
Title
Owner
Phone
(617) 846-1734

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 3084 MA Primary

Addresses

Primary practice location

50 Jefferson St
Winthrop, MA 02152-2649

Mailing address

50 Jefferson St
Winthrop, MA 02152-2649
Phone (617) 846-1734

National Provider Directory

National Provider Directory

Locations

50 Jefferson St
Winthrop, MA 02152
Phone (617) 846-1734

NPI Registry JSON

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

{
    "created_epoch": "1202083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255392000000",
    "number": "1992983894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 JEFFERSON ST",
            "city": "WINTHROP",
            "state": "MA",
            "postal_code": "021522649",
            "telephone_number": "617-846-1734",
            "fax_number": "617-846-3292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 JEFFERSON ST",
            "city": "WINTHROP",
            "state": "MA",
            "postal_code": "021522649",
            "telephone_number": "617-846-1734",
            "fax_number": "617-846-3292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTHEW J. KAIM",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-04",
        "last_updated": "2009-10-13",
        "status": "A",
        "authorized_official_last_name": "KAIM",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-846-1734",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MA",
            "license": "3084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winthrop, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2009; 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.