OrganizationActive
Andover Optometry on Central LLC
NPI 1417204033 · Optometrist · Andover, MA
Andover Optometry on Central LLC is a Optometrist organization in Andover, MA (NPI 1417204033).
Provider details
- NPI number
- 1417204033
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Ronald Watanabe, Owner(978) 475-5252
- License
- MA3763 (MA)
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
15 Central St
Andover, MA 01810-3758
Phone: (978) 475-5252
Fax: (978) 475-2226
Street-level locationGet directions
Mailing address
15 Central St
Andover, MA 01810-3758
Other names (DBA / former)
- Doing business as
- Andover Optometry on Central
Registry dates
- Enumerated
- 2012-08-14
- Last updated
- 2016-10-19
Frequently asked questions
- What is Andover Optometry on Central LLC's NPI number?
- Andover Optometry on Central LLC's National Provider Identifier (NPI) is 1417204033, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Andover Optometry on Central LLC?
- Andover Optometry on Central LLC is classified in the NPPES registry as Optometrist (Eye and Vision Services Providers).
- Where is Andover Optometry on Central LLC located?
- Andover Optometry on Central LLC's practice location on file with NPPES is 15 Central St, Andover, MA 01810-3758.
- What is Andover Optometry on Central LLC's phone number?
- The practice phone number listed in the NPPES registry for Andover Optometry on Central LLC is (978) 475-5252.
- Who is the authorized official for Andover Optometry on Central LLC?
- The authorized official listed on Andover Optometry on Central LLC's NPPES record is Ronald Watanabe, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Andover Optometry on Central LLC's NPI active?
- Yes — Andover Optometry on Central LLC's NPI (1417204033) is active in the NPPES registry as of the last update on 2016-10-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.