PREMIER OPTICAL INC. (NPI# 1669686929) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669686929 |
| Entity Type | Organization |
| Organization Name | PREMIER OPTICAL INC. |
| Other Organization Name | FASHION OPTICAL |
| Practice Address |
183 Massachusetts Ave Boston MA 02115-3009 |
| Practice Telephone | 6172661185 |
| Practice Fax Number | 6172626301 |
| Mailing Telephone | 6172661185 |
| Mailing Fax Number | 6172626301 |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. BENJAMIN ANDRE QUAMINA (PRESIDENT) |
| Authorized Official Telephone | 6172661185 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | 5174 | MA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | NEIGHBORHOOD HEALTH PLAN | 0040194 | 01 |
| MA | 9787534 | 05 |
| Other Name | Type Code |
|---|---|
| Fashion Optical | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| North Carolina Corporations | PREMIER OPTICAL INC. | 1575 King Wilkinson Rd., Denver, NC 28037 |
| Street Address |
183 MASSACHUSETTS AVE |
| City | BOSTON |
| State | MA |
| Zip Code | 02115-3009 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831146539 | Benjamin A Quamina | Ophthalmology | 183 Massachusetts Ave, Boston, MA 02115-3009 | 2006-05-28 |
| 1043415607 | Chukwuemeka C Nwanze | Internal Medicine | 183 Massachusetts Ave, Urban Eye Md Associates, Boston, MA 02115 | 2007-06-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013524339 | Jacqueline Busa | Student in an Organized Health Care Education/Training Program | Northeastern University 336 Huntington Ave, Boston, MA 02115 | 2020-09-30 |
| 1417564279 | Katherine Rose Brainard | Student in an Organized Health Care Education/Training Program | 336 Huntington Avenue, Boston, MA 02115 | 2020-09-25 |
| 1679189112 | Tara Baxter | Orthopaedic Surgery | Boston Children's Hospital - Sports Medicine Division, 319 Longwood Avenue, Boston, MA 02115 | 2020-09-21 |
| 1053923110 | Wendy Tu | Student in an Organized Health Care Education/Training Program | 75 Francis Street Abdominal Imaging and Intervention, Department of Radiology, Brigham and Women's Hospital, Boston, MA 02115 | 2020-08-20 |
| 1477177335 | Nicolas Wyvekens | Student in an Organized Health Care Education/Training Program | 75 Francis Street Department of Pathology, Brigham And, Boston, MA 02115 | 2020-06-05 |
| 1669095923 | Erin Crocker | Student in an Organized Health Care Education/Training Program | Northeastern University Physician Assistant Program, 360 Huntington Avenue, Boston, MA 02115 | 2020-05-21 |
| 1033732417 | Tyler Francis Hayes | Student in an Organized Health Care Education/Training Program | Gordon Hall, Suite 213, 25 Shattuck Street, Boston, MA 02115 | 2020-05-20 |
| 1982225090 | Emily Blake | Student in an Organized Health Care Education/Training Program | 202 Robinson Hall, 360 Huntington Avenue, Boston, MA 02115 | 2020-04-29 |
| 1891315495 | Stephanie Schoch | Student in an Organized Health Care Education/Training Program | 360 Huntington Ave., 202 Robinson Hall, Boston, MA 02115 | 2020-04-23 |
| 1427678093 | Meghan Miles | Student in an Organized Health Care Education/Training Program | 360 Huntington Avenue 202 Robinson Hall, Boston, MA 02115 | 2020-04-23 |
| Find all providers in zip 02115 | ||||
| Taxonomy Code | 332H00000X |
| Grouping | Suppliers |
| Classification | Eyewear Supplier (Equipment, not the service) |
| An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346848272 | Onsight Vision, LLC | Eyewear Supplier (Equipment, not the service) | 177 Huntington Ave Ste 1700, #7005, Boston, MA 02115-3165 | 2020-10-13 |
| 1104339308 | Jand Inc. | Eyewear Supplier (Equipment, not the service) | 72 Seaport Blvd, Boston, MA 02210 | 2017-11-09 |
| 1619494895 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 83 Newbury St Fl 2, Boston, MA 02116-3284 | 2017-08-28 |
| 1023499456 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 1325 Boylston St, Boston, MA 02215-3909 | 2015-06-11 |
| 1427378629 | Kenmore Optical | Eyewear Supplier (Equipment, not the service) | 656 Beacon St, Floor 1, Boston, MA 02215-2006 | 2010-06-10 |
| 1144356585 | For Eyes Optical of Pa | Eyewear Supplier (Equipment, not the service) | 222 Newbury St, Boston, MA 02115-2564 | 2007-02-27 |
| 1871629956 | For Eyes Optical of Pa | Eyewear Supplier (Equipment, not the service) | 155 Federal St, Suite 150, Boston, MA 02110 | 2007-02-26 |
| 1477615722 | Lenscrafters Inc | Eyewear Supplier (Equipment, not the service) | 481 Washington St, Downtown Crossing, Boston, MA 02111-1303 | 2006-12-14 |
| 1427575604 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 800 Boylston St, Boston, MA 02199-1900 | 2017-08-28 |
| 1982151403 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 450 Washington St, Boston, MA 02111-1312 | 2016-09-01 |
| Find all providers in BOSTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.