Individual provider Active NPI

Anastasia Logotheti, OD

  • Optometrist
  • Boston, MA
National Provider Identifier
1073361994
Registry record updated Aug 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT8279 Issued in MA
Practice address
850 Harrison Ave # Acc-3
Boston, MA 02118-4001
Phone
(617) 414-4020
Fax
(617) 414-4028
NPI assigned
May 7, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT8279 MA Primary

Addresses

Primary practice location

850 Harrison Ave # Acc-3
Boston, MA 02118-4001

Mailing address

850 Harrison Ave # Acc-3
Boston, MA 02118-4001
Phone (617) 414-4020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, MA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240619001823 AL Practitioner - Optometry 2163965013 Reassigns benefits to 1 organization
I20250723002214 MA Practitioner - Optometry 2163965013 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Boston University Eye Associates, Inc.Group PAC ID 4789571225, shared by 3 NPIs, 28 clinicians

Practice addresses (Care Compare)

2005 Bay St
Suite 206
Taunton, MA 02780-1085
Phone (508) 823-7473

22 Christy Dr
Brockton, MA 02301-1839
Phone (508) 588-3060

511 W Grove St
Suite 102
Middleboro, MA 02346-1458
Phone (508) 947-8868

850 Harrison Ave
Boston, MA 02118-4001
Phone (617) 414-4020

Hospital & facility affiliations

  • Boston Medical Center Hospital, Boston, MA, CCN 220031

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT8279MAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
University of Alabama at Birmingham Current Accepting new patients
Boston University Eye Associates, Inc. CurrentSince Sep 1, 2025 Accepting new patients
The University of Alabama at Birmingham Optometrist CurrentSince Jun 24, 2024 Accepting new patients
Boston University Eye Associates, Inc. Optometrist CurrentSince Sep 1, 2025 Accepting new patients
Boston University Eye Associates, Inc. Optometrist CurrentSince Sep 1, 2025 Accepting new patients
University of Alabama at Birmingham CurrentSince Jun 24, 2024 Accepting new patients
Boston Medical Center Corporation Current Accepting new patients

Locations

1716 University Blvd
Birmingham, AL 35294

1716 University Blvd
#G80A
Birmingham, AL 35233
Phone (205) 934-4748

1716 University Blvd
Birmingham, AL 35233
Phone (205) 934-3899

850 Harrison Ave
#3
Boston, MA 02118
Phone (617) 414-4020

850 Harrison Ave
Boston, MA 02118
Phone (617) 414-2000

22 Christy Dr
Brockton, MA 02301
Phone (508) 580-4611

511 W Grove St
Ste 102
Middleboro, MA 02346
Phone (508) 447-5064

2005 Bay St
Ste 206
Taunton, MA 02780
Phone (508) 822-2266

Interoperability endpoints

  • Direct secure messaging: alogotheti238488@direct.bmc.masshiway.net

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1715040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754956800000",
    "number": "1073361994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 HARRISON AVE # ACC-3",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021184001",
            "telephone_number": "617-414-4020",
            "fax_number": "617-414-4028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 HARRISON AVE # ACC-3",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021184001",
            "telephone_number": "617-414-4020",
            "fax_number": "617-414-4028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOGOTHETI",
        "first_name": "ANASTASIA",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-07",
        "last_updated": "2025-08-12",
        "certification_date": "2025-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "OPT8279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.