South Shore Eye Care

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

SOUTH SHORE EYE CARE

Practice address

2110 Dorchester Ave
Suite 100
Dorchester Center, MA 02124-5628

Phone

(617) 298-5300

Fax

(617) 296-3028

NPI assigned

Sep 24, 2007

Organization subpart

No

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

Authorized official

Name

Mary Lisa McHam, M.D.

Title

President

Phone

(617) 298-5300

Specialties & licenses 1

Addresses

Other names 1

• Massachusetts Eye Care Associates, P.C. Former legal business name

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

{
    "created_epoch": "1190592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190592000000",
    "number": "1992991905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2110 DORCHESTER AVE",
            "address_2": "SUITE 100",
            "city": "DORCHESTER CENTER",
            "state": "MA",
            "postal_code": "021245628",
            "telephone_number": "617-298-5300",
            "fax_number": "617-296-3028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2110 DORCHESTER AVE",
            "address_2": "SUITE 100",
            "city": "DORCHESTER CENTER",
            "state": "MA",
            "postal_code": "021245628",
            "telephone_number": "617-298-5300",
            "fax_number": "617-296-3028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH SHORE EYE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-24",
        "last_updated": "2007-09-24",
        "status": "A",
        "authorized_official_last_name": "MCHAM",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "LISA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "617-298-5300",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Massachusetts Eye Care Associates, P.C.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Optometrist in Dorchester Center, MA
• Providers in Dorchester Center, MA by specialty
• Optometrist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2007; 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.