NPIMap

Organization Active NPI

Boston Eye Physicians & Surgeons, P.C.

  • Ophthalmology Physician
  • Brookline, MA
National Provider Identifier
1013041318
Registry record updated Mar 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
BOSTON EYE PHYSICIANS & SURGEONS, P.C.
Practice address
44 Washington St Ste 103a
Brookline, MA 02445-7167
Phone
(617) 232-9600
Fax
(617) 232-7002
NPI assigned
Mar 16, 2007
Last updated
Mar 12, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2024

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

Authorized official

Name
Amanda Nguyen, CPC
Title
Billing Specialist
Phone
(617) 232-9600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X MA Primary

Addresses

Primary practice location

44 Washington St Ste 103a
Brookline, MA 02445-7167

Mailing address

44 Washington St
Suite 103a
Brookline, MA 02445-7130
Phone (617) 232-9600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090107000252 MA Part B Supplier - Clinic/Group Practice 0244393973 Receives reassigned benefits from 7 practitioners
Practice locations: Brookline, MA

National Provider Directory

National Provider Directory

Locations

44 Washington St
Brookline, MA 02445
Phone (617) 232-9600

54 Washington St
Wellesley Hills, MA 02481
Phone (781) 237-0400

52 Crest Ave
Ste 2
Winthrop, MA 02152
Phone (617) 846-7950

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710201600000",
    "number": "1013041318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 WASHINGTON ST",
            "address_2": "SUITE 103A",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024457130",
            "telephone_number": "617-232-9600",
            "fax_number": "617-232-7002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 WASHINGTON ST STE 103A",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024457167",
            "telephone_number": "617-232-9600",
            "fax_number": "617-232-7002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOSTON EYE PHYSICIANS & SURGEONS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-16",
        "last_updated": "2024-03-12",
        "certification_date": "2024-03-12",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "BILLING SPECIALIST",
        "authorized_official_telephone_number": "617-232-9600",
        "authorized_official_credential": "CPC"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookline, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2024; 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.