EYE CENTER OF THE NORTH SHORE, LLC
NPI 1053562330
Ophthalmology in Salem, MA
About Eye Center Of The North Shore, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EYE CENTER OF THE NORTH SHORE, LLC (NPI 1053562330) is a healthcare organization registered as an ophthalmology in Salem, Massachusetts and active in the NPI registry since October 2008. The organization holds a CLIA Waiver certificate valid through June 26, 2028 and lists Randall Patkin, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Eye Center Of The North Shore, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
12Medicare enrollment records show 12 clinicians reassign Medicare billing to Eye Center Of The North Shore, LLC, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 5 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 2
Clinicians, nearest first (12)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 22D2079947
Eye Center Of The North Shore · Salem, MAMedical Equipment Supplier Medicare DMEPOS 3
Medicare supplier enrollment and the product categories Eye Center Optical carries, from the Medicare DMEPOS supplier directory.
Eye Center Optical
DMEPOS supplier · Salem, MAOperated by Eye Center Of The North Shore, LLCAccepts Medicare assignment
Eye Center Optical agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Product Categories
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Eye Center Of The North Shore, LLC's NPI number?
The NPI number for Eye Center Of The North Shore, LLC is 1053562330. It was assigned to this organization in the NPPES registry on October 6, 2008.
Where is Eye Center Of The North Shore, LLC located?
Eye Center Of The North Shore, LLC is located at 400 Highland Ave Suite 20, Salem, MA 01970. The listed phone number is (978) 744-1177.
What is Eye Center Of The North Shore, LLC's specialty?
The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.
Is Eye Center Of The North Shore, LLC enrolled in Medicare?
Yes. Eye Center Of The North Shore, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Eye Center Of The North Shore, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 12 clinicians in 2 Medicare specialties reassign their Medicare billing to Eye Center Of The North Shore, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Ophthalmology (8) and Optometry (4). Of these, 4 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Eye Center Of The North Shore, LLC accept Medicare assignment for medical equipment?
Yes. As a Medicare medical equipment supplier, Eye Center Optical accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.
Does Eye Center Of The North Shore, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 22D2079947) is associated with this NPI, valid through June 26, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Eye Center Of The North Shore, LLC accept?
Health plans from Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 1 other insurer list Eye Center Of The North Shore, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Eye Center Of The North Shore, LLC was last updated on August 12, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Eye Center Of The North Shore, Llc · NPI 1053562330
Ophthalmology organization in Salem, Massachusetts. Organization record, active in the CMS NPPES registry since October 6, 2008.
## Identity
- **NPI:** 1053562330 (Entity type: Organization)
- **Enumerated:** October 6, 2008
- **Primary specialty:** Ophthalmology · taxonomy 207W00000X
- **Organization subpart:** No
- **Authorized official:** Randall Patkin, PRESIDENT
## Practice location
- **Address:** 400 HIGHLAND AVE, SUITE 20, Salem, MA 01970-7003
- **Phone:** (978) 744-1177 · **Fax:** (978) 744-1177
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 12 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Ophthalmology (8), Optometry (4); 4 practice at this address and 5 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 12, 2014
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1053562330) · Data from the CMS NPPES public registry.