Individual provider Active NPI

Clarissa Ngui, OD

  • Optometrist
  • Boston, MA
National Provider Identifier
1013535772
Registry record updated Nov 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5435 Issued in MA
Practice address
1341 Boylston St
Boston, MA 02215-3909
Phone
(508) 661-9532
NPI assigned
Jul 9, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2020

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
Optometrist 152W00000X 5435 MA Primary

Addresses

Primary practice location

1341 Boylston St
Boston, MA 02215-3909

Mailing address

1341 Boylston St
Boston, MA 02215-3909
Phone (508) 661-9532

Other practice location 1

7766 Hilda Street
Burnaby, British Columbia V3N 3H7
CA
Phone (857) 777-8446

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
5435MAMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1594252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605312000000",
    "number": "1013535772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1341 BOYLSTON ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022153909",
            "telephone_number": "508-661-9532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1341 BOYLSTON ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022153909",
            "telephone_number": "508-661-9532"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7766 Hilda Street",
            "address_purpose": "LOCATION",
            "city": "Burnaby",
            "state": "British Columbia",
            "postal_code": "V3N 3H7",
            "country_code": "CA",
            "telephone_number": "857-777-8446",
            "country_name": "Canada",
            "address_type": "FGN"
        }
    ],
    "basic": {
        "last_name": "NGUI",
        "first_name": "CLARISSA",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-09",
        "last_updated": "2020-11-14",
        "certification_date": "2020-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "5435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.