Organization Active NPI

Vision Care Boston Inc

  • Optometrist
  • Boston, MA
National Provider Identifier
1063892784
Registry record updated Jul 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4982 Issued in MA
Legal business name
VISION CARE BOSTON INC
Practice address
48 High St
Boston, MA 02110-2301
Phone
(617) 542-2020
Fax
(617) 542-2021
NPI assigned
Jun 8, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2015

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

Authorized official

Name
Dr. Rae R Huang, OD
Title
Owner
Phone
(617) 542-2020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 4982 MA Primary

Addresses

Primary practice location

48 High St
Boston, MA 02110-2301

Mailing address

48 High St
Boston, MA 02110-2301
Phone (617) 542-2020

Other identifiers 1

IdentifierTypeStateIssuer
110100941AMedicaidMA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
22D2084075Vision Care Boston48 High Street, Boston, MA 02110Certificate of waiverSep 17, 2026

National Provider Directory

National Provider Directory

Locations

48 High St
Boston, MA 02110
Phone (617) 542-2015

Practitioners & affiliated clinicians

Practitioners 1

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": "1433721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438128000000",
    "number": "1063892784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 HIGH ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021102301",
            "telephone_number": "617-542-2020",
            "fax_number": "617-542-2021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 HIGH ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021102301",
            "telephone_number": "617-542-2020",
            "fax_number": "617-542-2021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISION CARE BOSTON INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-08",
        "last_updated": "2015-07-29",
        "status": "A",
        "authorized_official_last_name": "HUANG",
        "authorized_official_first_name": "RAE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-542-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MA",
            "license": "4982",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110100941A",
            "state": "MA"
        }
    ],
    "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 Jul 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.