Individual provider Active NPI

Maria Jose Lopez Velasquez, MD

  • Ophthalmology Physician
  • Boston, MA
National Provider Identifier
1003301706
Registry record updated Aug 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
1014156 Issued in MA
Practice address
50 Staniford St
Boston, MA 02114-2517
Phone
(617) 367-4800
NPI assigned
Jun 25, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Ophthalmology Physician 207W00000X 1014156 MA Primary

Addresses

Primary practice location

50 Staniford St
Boston, MA 02114-2517

Mailing address

50 Staniford St Ste 600
Boston, MA 02114-2587
Phone (617) 367-4800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230801002692 MA Practitioner - Ophthalmology 5496116840 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nielsen Eye Center, Inc.Group PAC ID 6608828884, 12 clinicians

Practice addresses (Care Compare)

300 Congress St
Quincy, MA 02169-0907
Phone (617) 471-5665

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery199

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Pratt Ophthalmology Associates, Inc CurrentSince Jul 7, 2023 Accepting new patients
Pratt Ophthalmology Associates Inc Ophthalmology CurrentSince Jul 7, 2023 Accepting new patients
Nielsen Eye Center, Inc. CurrentSince Apr 1, 2024 Accepting new patients

Locations

50 Staniford St
Ste 600
Boston, MA 02114
Phone (617) 367-4800

800 Washington St
Boston, MA 02111
Phone (617) 636-4800

50 Staniford St
Boston, MA 02114
Phone (617) 723-2015

141 Longwater Dr
Ste 111
Norwell, MA 02061

95 Chapel St
Ste 1A
Norwood, MA 02062
Phone (781) 255-8325

300 Congress St
Ste 201
Quincy, MA 02169
Phone (617) 471-5655

541 Main St
Ste 110
Weymouth, MA 02190

Interoperability endpoints

  • Direct secure messaging: mvelasquezlopez@golasik.intellechartdirect.net

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1529884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691539200000",
    "number": "1003301706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 STANIFORD ST STE 600",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021142587",
            "telephone_number": "617-367-4800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 STANIFORD ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021142517",
            "telephone_number": "617-367-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ VELASQUEZ",
        "first_name": "MARIA",
        "middle_name": "JOSE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-25",
        "last_updated": "2023-08-09",
        "certification_date": "2023-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MA",
            "license": "1014156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.