Organization Active NPI

The Boston Foundation for Sight, Inc.

  • Corneal and Contact Management Optometrist
  • Needham, MA
National Provider Identifier
1023077757
Registry record updated Feb 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corneal and Contact Management OptometristTaxonomy code 152WC0802X
License
4412 Issued in MA
Legal business name
THE BOSTON FOUNDATION FOR SIGHT, INC.
Practice address
464 Hillside Ave
Suite 205
Needham, MA 02494-1227
Phone
(781) 726-7337
Fax
(781) 726-7310
NPI assigned
Mar 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2020

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

Authorized official

Name
Lynn Carter
Title
Billing Manger
Phone
(781) 726-7337

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152WC0802X 4412 MA Primary
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X 27372 MA

Addresses

Primary practice location

464 Hillside Ave
Suite 205
Needham, MA 02494-1227

Mailing address

464 Hillside Ave
Suite 205
Needham, MA 02494-1227
Phone (781) 726-7337

Other identifiers 5

IdentifierTypeStateIssuer
152662OtherMAHPHC
690725OtherMATUFTS
W20285OtherMABCBSMA
M17796OtherMABCBS
9708685MedicaidMA

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Needham

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20041012000023 MA Part B Supplier - Clinic/Group Practice 7012977424 Receives reassigned benefits from 6 practitioners
Practice locations: Needham, MA
O20100930091754 MA DME Supplier - Physician - Optometrist 7012977424 Practice locations: Needham, MA

National Provider Directory

National Provider Directory
Tax ID family
Boston Foundation for Sight2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1244 Boylston St
Ste 202
Chestnut Hill, MA 02467
Phone (617) 735-8698

464 Hillside Ave
Ste 205
Needham Heights, MA 02494
Phone (781) 726-7337

80 Broadway
Revere, MA 02151
Phone (781) 289-7929

68 Central St
Wellesley, MA 02482
Phone (781) 239-9811

Practitioners & affiliated clinicians

Practitioners 8

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

NPI Registry JSON

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

{
    "created_epoch": "1142899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581552000000",
    "number": "1023077757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "464 HILLSIDE AVE",
            "address_2": "SUITE 205",
            "city": "NEEDHAM",
            "state": "MA",
            "postal_code": "024941227",
            "telephone_number": "781-726-7337",
            "fax_number": "781-726-7310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "464 HILLSIDE AVE",
            "address_2": "SUITE 205",
            "city": "NEEDHAM",
            "state": "MA",
            "postal_code": "024941227",
            "telephone_number": "781-726-7337",
            "fax_number": "781-726-7310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE BOSTON FOUNDATION FOR SIGHT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-21",
        "last_updated": "2020-02-13",
        "certification_date": "2020-02-13",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "LYNN",
        "authorized_official_title_or_position": "BILLING MANGER",
        "authorized_official_telephone_number": "781-726-7337"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "MA",
            "license": "4412",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "MA",
            "license": "27372",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HPHC",
            "identifier": "152662",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "690725",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSMA",
            "identifier": "W20285",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "M17796",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9708685",
            "state": "MA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Needham",
            "affiliation": "N",
            "address_1": "464 Hillside Ave",
            "address_2": "Suite 205",
            "city": "Needham",
            "state": "MA",
            "country_code": "US",
            "postal_code": "024941227",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Needham, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2020; 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.