Healthcare Provider Details

I. General information

NPI: 1720887292
Provider Name (Legal Business Name): BRIGHT EYES NEEDHAM, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/10/2025
Last Update Date: 03/21/2025
Certification Date: 03/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

464 HILLSIDE AVE STE 301
NEEDHAM MA
02494-1228
US

IV. Provider business mailing address

23 BROOKFIELD RD
DOVER MA
02030-1841
US

V. Phone/Fax

Practice location:
  • Phone: 781-222-3936
  • Fax: 781-222-3905
Mailing address:
  • Phone: 508-308-0130
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code152WC0802X
TaxonomyCorneal and Contact Management Optometrist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code152WL0500X
TaxonomyLow Vision Rehabilitation Optometrist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code152WS0006X
TaxonomySports Vision Optometrist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code152WV0400X
TaxonomyVision Therapy Optometrist
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code152WP0200X
TaxonomyPediatric Optometrist
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: DR. YOS PRIESTLEY
Title or Position: OWNER/OPTOMETRIST
Credential: OD
Phone: 508-308-0130