EYE CENTER OF THE NORTH SHORE, LLC
NPI 1053562330
Ophthalmology in Salem, MA

Active since October 06, 2008CLIA 22D2079947 · Waiver
400 HIGHLAND AVE, SUITE 20, SALEM, MA 01970(978) 744-1177(978) 744-1177 Get Directions Write a Review

NPPES record last updated: August 12, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

NPI1053562330
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NameEYE CENTER OF THE NORTH SHORE, LLC
Location Address400 HIGHLAND AVE, SUITE 20Salem, MA 01970-7003
Mailing Address400 Highland Ave, Suite 20Salem, MA 01970-7003 · (978) 744-1177 · Fax (978) 910-0125
Fax(978) 744-1177
Organization SubpartNo
Authorized OfficialRandall PatkinPresident · (978) 744-1177
Enumeration DateOctober 6, 2008
Last NPPES UpdateAugust 12, 2014
NPI 1053562330 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
400 HIGHLAND AVE, Salem, MA 01970

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

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, MA
Active · expires Jun 26, 2028
CLIA Number22D2079947
Laboratory TypePhysician Office
Certificate Effective DateJune 27, 2026
Certificate Expiration DateJune 26, 2028
Laboratory DirectorRandall Patkin
Laboratory Phone(978) 744-1177
Laboratory LocationEye Center Of The North Shore400 Highland Ave, Suite 20, Salem, MA 01970
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Medical 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, LLC

Accepts 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.

PTAN (Medicare Supplier Number)20509235
Medicare Participant SinceJanuary 1, 2014
Supplier Location400 Highland Avenue Suite 20Salem, MA 01970
Supplier Specialties
Optometrist Optician

Medicare Product Categories

Prosthetic Lenses: Conventional Eyeglasses
Conventional Eyeglasses
Prosthetic Lenses: Conventional Contact Lenses
Conventional Contact Lenses
Prosthetic Lenses: Prosthetics Cataract Lenses
Cataract Eyeglasses
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Urology
400 HIGHLAND AVE, SUITE 6
SALEM, MA 01970
Urology
400 HIGHLAND AVE, SUITE 6
SALEM, MA 01970
Nurse Practitioner
400 HIGHLAND AVE, SUITE 6
SALEM, MA 01970
Technician/Technologist (Contact Lens Fitter)
400 HIGHLAND AVE, SUITE 20
SALEM, MA 01970
Urology
400 HIGHLAND AVE, SUITE 6
SALEM, MA 01970
Nurse Practitioner
400 HIGHLAND AVE
SALEM, MA 01970
Internal Medicine
400 HIGHLAND AVE, SUITE 1
SALEM, MA 01970
Urology
400 HIGHLAND AVE, SUITE 6
SALEM, MA 01970

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.

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 Shield and BlueCross BlueShield of Tennessee 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 11 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.