Harvard Square Eye Care P.C.

Primary specialty

OptometristTaxonomy code 152W00000X

License

4211 Issued in MA

Legal business name

HARVARD SQUARE EYE CARE P.C.

Practice address

19 Dunster St
Cambridge, MA 02138-5002

Phone

(617) 354-5590

NPI assigned

Sep 22, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Lauren Dickerman, O.D.NPI 1790874667

Title

President

Phone

61733545590

Specialties & licenses 6

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lauren Dickerman, O.D.

  • Optometrist
  • Cambridge, MA
  • NPI 1790874667
  Medicare reassignment Care Compare group NPD Authorized official
• Arsh Shah, OD

  • Optometrist
  • Lowell, MA
  • NPI 1679201032
  Medicare reassignment Care Compare group NPD
• Anthony Phamduy, OD

  • Optometrist
  • Arlington, MA
  • NPI 1184376998
  Medicare reassignment NPD
• Amanda Wiederoder, OD

  • Optometrist
  • Boston, MA
  • NPI 1720547961
  Medicare reassignment NPD
• Belqes Galaal, OD

  • Optometrist
  • North Cambridge, MA
  • NPI 1942965975
  NPD
• Margaret Anne Komoniewski, OD

  • Optometrist
  • Cambridge, MA
  • NPI 1669365607
  NPD
• Merve Tuccar Burak, OD

  • Optometrist
  • Cambridge, MA
  • NPI 1356034250
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1190419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204588800000",
    "number": "1003002155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 DUNSTER ST",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021385002",
            "telephone_number": "617-354-5590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 DUNSTER ST",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021385002",
            "telephone_number": "617-354-5590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARVARD SQUARE EYE CARE P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-22",
        "last_updated": "2008-03-04",
        "status": "A",
        "authorized_official_last_name": "DICKERMAN",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "61733545590",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "MA",
            "license": "4211",
            "primary": true
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Pediatrics",
            "state": "MA",
            "license": "4211",
            "primary": false
        },
        {
            "code": "152WS0006X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Sports Vision",
            "state": "MA",
            "license": "4211",
            "primary": false
        },
        {
            "code": "156FC0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician/Technologist, Contact Lens",
            "state": "MA",
            "license": "4211",
            "primary": false
        },
        {
            "code": "156FC0801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician/Technologist, Contact Lens Fitter",
            "state": "MA",
            "license": "4211",
            "primary": false
        },
        {
            "code": "156FX1800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "MA",
            "license": "6165",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0334570",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Megan Hartnett
• Byron Vartan Hartunian, M.D.
• Maureen Elizabeth Harty, LICSW
• Harvard Partners Center for Genetics and Genomics
• Harvard SQ. Optical, Inc.
• Harvard Street Dental PC
• Judith Faye Harwood, LICSW
• Taymour Hashemzadeh, MD
• Susanne R. Haskell, PSY.D.
• Adar Hassan, PHARMD

• Optometrist in Cambridge, MA
• Providers in Cambridge, MA by specialty
• Optometrist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.