Individual provider Active NPI

Kara Elizabeth Gerger, O.D.

  • Optometrist
  • Boston, MA
National Provider Identifier
1093146169
Registry record updated Nov 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4983 Issued in MA
Practice address
930 Commonwealth Ave
Suite 2a
Boston, MA 02215-1220
Phone
(617) 262-2020
Fax
(617) 236-6323
NPI assigned
Nov 27, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4983 MA Primary

Addresses

Primary practice location

930 Commonwealth Ave
Suite 2a
Boston, MA 02215-1220

Mailing address

930 Commonwealth Ave
Suite 2a
Boston, MA 02215-1220
Phone (617) 262-2020

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
4983MAMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1385510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1385510400000",
    "number": "1093146169",
    "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": "022151220",
            "telephone_number": "617-262-2020",
            "fax_number": "617-236-6323"
        },
        {
            "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": "022151220",
            "telephone_number": "617-262-2020",
            "fax_number": "617-236-6323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERGER",
        "first_name": "KARA",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-27",
        "last_updated": "2013-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "4983",
            "primary": true
        }
    ],
    "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 Nov 27, 2013; 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.