Active NPI
Rajvinder Kaur Pabla, OD
- Pediatric Optometrist
- Boston, MA
National Provider Identifier
1023341971
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Optometrist
- License
- 4762
- Practice address
- 930 Commonwealth Ave
Suite 2a
Boston, MA 02215-1274 - Phone
- (617) 529-9077
- NPI assigned
- Sep 10, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Optometrist | 152WP0200X | 4762 | MA | Primary |
| Optometrist | 152W00000X | 4762 | MA |
Addresses
Primary practice location
930 Commonwealth Ave
Suite 2a
Boston, MA 02215-1274
Mailing address
930 Commonwealth Ave
Suite 2a
Boston, MA 02215-1274
Phone (617) 529-9077
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
| License | State | Type | Specialty |
|---|---|---|---|
| 4762 | MA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1252540800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1252713600000",
"number": "1023341971",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "930 COMMONWEALTH AVE",
"address_2": "SUITE 2A",
"city": "BOSTON",
"state": "MA",
"postal_code": "022151274",
"telephone_number": "617-529-9077"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "930 COMMONWEALTH AVE",
"address_2": "SUITE 2A",
"city": "BOSTON",
"state": "MA",
"postal_code": "022151274",
"telephone_number": "617-529-9077"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PABLA",
"first_name": "RAJVINDER",
"middle_name": "KAUR",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-09-10",
"last_updated": "2009-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "152WP0200X",
"taxonomy_group": "",
"desc": "Optometrist, Pediatrics",
"state": "MA",
"license": "4762",
"primary": true
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MA",
"license": "4762",
"primary": false
}
],
"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 Sep 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.