Individual provider Active NPI

Lon Bornstein, OD

  • Optometrist
  • Amherst, MA
National Provider Identifier
1053912261
Registry record updated Aug 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5438 Issued in MA
Practice address
22 University Dr
Amherst, MA 01002-2243
Phone
(413) 549-9400
NPI assigned
Nov 4, 2020
Last updated
Aug 30, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 5438 MA Primary

Addresses

Primary practice location

22 University Dr
Amherst, MA 01002-2243

Mailing address

8614 Westwood Center Dr FL 9
Vienna, VA 22182-2442
Phone (703) 847-8899

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
I20201217002596 MA Practitioner - Optometry 2668884560 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Goswick Eye LLCGroup PAC ID 7113068750, 6 clinicians

Practice addresses (Care Compare)

10 Technology Dr
Suite 5
Hudson, MA 01749-2791
Phone (508) 832-8322

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5438MAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Goswick Eye LLC Optometrist CurrentSince Apr 1, 2025 Accepting new patients
Carpen, Inc. PastSince Nov 1, 2020 Accepting new patients
Westin Cohen OD PLLC Optometrist PastSince Jan 8, 2024 Accepting new patients
Renee M Gomez-Chlebica OD LLC Optometrist PastSince Nov 23, 2020 Accepting new patients

Locations

10 Technology Dr
Ste 5
Hudson, MA 01749

345 Main St
Northborough, MA 01532
Phone (508) 832-4613

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1604448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661817600000",
    "number": "1053912261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8614 WESTWOOD CENTER DR FL 9",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221822442",
            "telephone_number": "703-847-8899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 UNIVERSITY DR",
            "city": "AMHERST",
            "state": "MA",
            "postal_code": "010022243",
            "telephone_number": "413-549-9400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORNSTEIN",
        "first_name": "LON",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-11-04",
        "last_updated": "2022-08-30",
        "certification_date": "2022-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "5438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amherst, MA

Sources for this page

Verify at the official NPI Registry.