EYE CENTER OF THE NORTH SHORE, LLC – Ophthalmology Physician, NPI 1053562330

EYE CENTER OF THE NORTH SHORE, LLC is a healthcare provider. based in Salem, Massachusetts. specializing in Ophthalmology Physician. The NPI Number for EYE CENTER OF THE NORTH SHORE, LLC is 1053562330

Main info

Organization
Name
EYE CENTER OF THE NORTH SHORE, LLC
NPI
1053562330
Phone
(978) 744-1177
Address
400 HIGHLAND AVE
Authorized Official
DR. RANDALL PATKIN PRESIDENT M.D.
Enumeration Date
6 October 2008
Last Update Date
12 August 2014
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness75
Years active:17State licenses:0Digital endpointsOther names

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Provider Addresses for EYE CENTER OF THE NORTH SHORE, LLC

  • Urology Consultants of the North Shore, 400, Highland Avenue, Salem, Essex County, Massachusetts, 01970, United States

    SUITE 20

    SALEM, MA 019707003

    Phone: (978) 744-1177

    Fax: (978) 910-0125

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-06-02

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20100602000022OClinic/Group PracticeMATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 01970)

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Reviews

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Frequently asked questions

Is EYE CENTER OF THE NORTH SHORE, LLC listed with a National Provider Identifier?
Yes — EYE CENTER OF THE NORTH SHORE, LLC has NPI 1053562330 on file in the registry.
Would EYE CENTER OF THE NORTH SHORE, LLC appear as active to a payer?
You can treat EYE CENTER OF THE NORTH SHORE, LLC as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is EYE CENTER OF THE NORTH SHORE, LLC?
EYE CENTER OF THE NORTH SHORE, LLC is associated with Ophthalmology Physician in the directory — Clinical services aligned with this taxonomy classification.
Where in Massachusetts is EYE CENTER OF THE NORTH SHORE, LLC registered?
Use Salem, Massachusetts as the headline location for EYE CENTER OF THE NORTH SHORE, LLC here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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