1508739715 NPI number — THE SURGICAL CENTER AT BOSTON EYE PHYSICIANS AND SURGEONS LLC

NPI Number: 1508739715
Health Care Provider/Practitioner: THE SURGICAL CENTER AT BOSTON EYE PHYSICIANS AND SURGEONS LLC

NPI Number : 1508739715 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1508739715",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "THE SURGICAL CENTER AT BOSTON EYE PHYSICIANS AND SURGEONS LLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "44 WASHINGTON ST STE 103A",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "BROOKLINE",
    "MailingAddressStateName": "MA",
    "MailingAddressPostalCode": "02445-7167",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "617-232-9600",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "44 WASHINGTON ST STE 103A",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "BROOKLINE",
    "PracticeLocationAddressStateName": "MA",
    "PracticeLocationAddressPostalCode": "02445-7167",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "617-232-9600",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "09/24/2025",
    "LastUpdateDate": "09/24/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "SCHWARTZ",
    "AuthorizedOfficialFirstName": "DANIEL",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "MANAGING MEMBER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "617-232-9600",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "261QS0132X",
          "TaxonomyName": "Ophthalmologic Surgery Clinic/Center",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "261QA1903X",
          "TaxonomyName": "Ambulatory Surgical Clinic/Center",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}