Individual provider Active NPI

Justine Pidgeon, OD

  • Optometrist
  • Boston, MA
National Provider Identifier
1003582420
Registry record updated Aug 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5499 Issued in MA
Practice address
400 Commonwealth Ave Ste 2
Boston, MA 02215-2849
Phone
(617) 426-0370
NPI assigned
Aug 17, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 5499 MA Primary

Addresses

Primary practice location

400 Commonwealth Ave Ste 2
Boston, MA 02215-2849

Mailing address

400 Commonwealth Ave Ste 2
Boston, MA 02215-2849

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240226003354 MA Practitioner - Optometry 0345685616 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2021
Medicare assignment
May accept Medicare assignment
Group practices
Paul M Cangiano IncGroup PAC ID 5193751428, 4 clinicians
Forefront Eyecare PLLCGroup PAC ID 8123319043, 6 clinicians

Practice addresses (Care Compare)

77 N Washington St
Boston, MA 02114-1908
Phone (617) 227-2010

99 Bedford St
Lbby 102
Boston, MA 02111-2210
Phone (617) 426-0370

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5499MAMDOptician

Practice roles

OrganizationSpecialtyStatusNew patients
Paul M Cangiano Inc Optometrist Current Accepting new patients
Forefront Eyecare PLLC Optometrist CurrentSince Jan 15, 2024 Accepting new patients
Paul M Cangiano Inc Optometrist Current Accepting new patients
Physicians Eye Care, LLC. PastSince Aug 28, 2021 Accepting new patients

Locations

99 Bedford St
Lbby 102
Boston, MA 02111
Phone (617) 426-0370

400 Commonwealth Ave
Ste 2
Boston, MA 02215
Phone (617) 426-0370

77 N Washington St
Boston, MA 02114
Phone (617) 227-2010

Organizations & group practices 4

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": "1629158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629158400000",
    "number": "1003582420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 COMMONWEALTH AVE STE 2",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022152849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 COMMONWEALTH AVE STE 2",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022152849",
            "telephone_number": "617-426-0370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIDGEON",
        "first_name": "JUSTINE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-17",
        "last_updated": "2021-08-17",
        "certification_date": "2021-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "5499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.