Organization Active NPI

Boston Laser Eye Institute, PC

Doing business as Boston Vision

  • Ambulatory Surgical Clinic/Center
  • Brookline, MA
National Provider Identifier
1063749307
Registry record updated Oct 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
4R1G Issued in MA
Legal business name
BOSTON LASER EYE INSTITUTE, PC
Doing business as
Boston Vision
Practice address
24 Webster PL
Brookline, MA 02445-7937
Phone
(617) 202-2020
Fax
(617) 735-9616
NPI assigned
Nov 6, 2009
Last updated
Oct 17, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2021

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

Authorized official

Name
Samir Melki, M.D.NPI 1407838295
Title
President
Phone
(617) 566-0062

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 4R1G MA Primary

Addresses

Primary practice location

24 Webster PL
Brookline, MA 02445-7937

Mailing address

24 Webster PL
Brookline, MA 02445-7937
Phone (617) 202-2020

Other names 1

  • Boston Vision Doing business as

Electronic endpoints 12

TypeEndpointUseAffiliation
Direct Messaging Address mnajafi@bostonvision.intellechartdirect.net
Direct Messaging Address amartin@bostonvision.intellechartdirect.net
Direct Messaging Address jlee@bostonvision.intellechartdirect.net
Direct Messaging Address vkeshav@bostonvision.intellechartdirect.net
Direct Messaging Address rkellan@bostonvision.intellechartdirect.net
Direct Messaging Address mfinkelstein@bostonvision.intellechartdirect.net
Direct Messaging Address smelki@bostonvision.intellechartdirect.net
Direct Messaging Address jbrenner@bostonvision.intellechartdirect.net
Direct Messaging Address enangle@bostonvision.intellechartdirect.net
Direct Messaging Address vyao@bostonvision.intellechartdirect.net
Direct Messaging Address vvilkomir@bostonvision.intellechartdirect.net
Direct Messaging Address npatel@bostonvision.intellechartdirect.net

National Provider Directory

National Provider Directory
Tax ID family
Boston Eye Group2 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.

Interoperability endpoints

  • Direct secure messaging: enangle@bostonvision.intellechartdirect.net
  • Direct secure messaging: mfinkelstein@bostonvision.intellechartdirect.net
  • Direct secure messaging: vyao@bostonvision.intellechartdirect.net

Practitioners & affiliated clinicians

Practitioners 1

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": "1257465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634428800000",
    "number": "1063749307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 WEBSTER PL",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024457937",
            "telephone_number": "617-202-2020",
            "fax_number": "617-735-9616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 WEBSTER PL",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024457937",
            "telephone_number": "617-202-2020",
            "fax_number": "617-735-9616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOSTON LASER EYE INSTITUTE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-06",
        "last_updated": "2021-10-17",
        "certification_date": "2021-10-17",
        "status": "A",
        "authorized_official_last_name": "MELKI",
        "authorized_official_first_name": "SAMIR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "617-566-0062",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "MA",
            "license": "4R1G",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mnajafi@bostonvision.intellechartdirect.net",
            "affiliation": "N",
            "address_1": "24 Webster Pl",
            "city": "Brookline",
            "state": "MA",
            "country_code": "US",
            "postal_code": "024457937",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amartin@bostonvision.intellechartdirect.net",
            "affiliation": "N",
            "address_1": "24 Webster Pl",
            "city": "Brookline",
            "state": "MA",
            "country_code": "US",
            "postal_code": "024457937",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jlee@bostonvision.intellechartdirect.net",
            "affiliation": "N",
            "address_1": "24 Webster Pl",
            "city": "Brookline",
            "state": "MA",
            "country_code": "US",
            "postal_code": "024457937",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "vkeshav@bostonvision.intellechartdirect.net",
            "affiliation": "N",
            "address_1": "24 Webster Pl",
            "city": "Brookline",
            "state": "MA",
            "country_code": "US",
            "postal_code": "024457937",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rkellan@bostonvision.intellechartdirect.net",
            "affiliation": "N",
            "address_1": "24 Webster Pl",
            "city": "Brookline",
            "state": "MA",
            "country_code": "US",
            "postal_code": "024457937",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mfinkelstein@bostonvision.intellechartdirect.net",
            "affiliation": "N",
            "address_1": "24 Webster Pl",
            "city": "Brookline",
            "state": "MA",
            "country_code": "US",
            "postal_code": "024457937",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "smelki@bostonvision.intellechartdirect.net",
            "affiliation": "N",
            "address_1": "24 Webster Pl",
            "city": "Brookline",
            "state": "MA",
            "country_code": "US",
            "postal_code": "024457937",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jbrenner@bostonvision.intellechartdirect.net",
            "affiliation": "N",
            "address_1": "24 Webster Pl",
            "city": "Brookline",
            "state": "MA",
            "country_code": "US",
            "postal_code": "024457937",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "enangle@bostonvision.intellechartdirect.net",
            "affiliation": "N",
            "address_1": "24 Webster Pl",
            "city": "Brookline",
            "state": "MA",
            "country_code": "US",
            "postal_code": "024457937",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "vyao@bostonvision.intellechartdirect.net",
            "affiliation": "N",
            "address_1": "24 Webster Pl",
            "city": "Brookline",
            "state": "MA",
            "country_code": "US",
            "postal_code": "024457937",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "vvilkomir@bostonvision.intellechartdirect.net",
            "affiliation": "N",
            "address_1": "24 Webster Pl",
            "city": "Brookline",
            "state": "MA",
            "country_code": "US",
            "postal_code": "024457937",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "npatel@bostonvision.intellechartdirect.net",
            "affiliation": "N",
            "address_1": "24 Webster Pl",
            "city": "Brookline",
            "state": "MA",
            "country_code": "US",
            "postal_code": "024457937",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Boston Vision",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 17, 2021; 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.