NPIMap

Organization Active NPI

Zachary Jost OD Inc PC

Doing business as Back Bay Eye Care

  • Optometrist
  • Boston, MA
National Provider Identifier
1104547462
Registry record updated Sep 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
ZACHARY JOST OD INC PC
Doing business as
Back Bay Eye Care
Vision Source of Park Square
Practice address
31 Saint James Ave Ste 135
Boston, MA 02116-4101
Phone
(617) 936-4027
Fax
(617) 936-3059
NPI assigned
Sep 6, 2022
Last updated
Sep 8, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2023

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

Authorized official

Name
Dr. Zachary Jost, ODNPI 1912574955
Title
Owner
Phone
(617) 936-4027

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

31 Saint James Ave Ste 135
Boston, MA 02116-4101

Mailing address

31 Saint James Ave Ste 135
Boston, MA 02116-4101
Phone (617) 936-4027

Other names 2

  • Back Bay Eye Care Doing business as
  • VISION SOURCE OF PARK SQUARE Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221111000932 MA Part B Supplier - Clinic/Group Practice 7719354216 Receives reassigned benefits from 3 practitioners
Practice locations: Boston, MA

National Provider Directory

National Provider Directory

Locations

31 Saint James Ave
Ste 135
Boston, MA 02116
Phone (617) 426-6277

Practitioners & affiliated clinicians

Practitioners 12

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": "1662422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694131200000",
    "number": "1104547462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 SAINT JAMES AVE STE 135",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021164101",
            "telephone_number": "617-936-4027",
            "fax_number": "617-936-3059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 SAINT JAMES AVE STE 135",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021164101",
            "telephone_number": "617-936-4027",
            "fax_number": "617-936-3059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZACHARY JOST OD INC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-06",
        "last_updated": "2023-09-08",
        "certification_date": "2023-09-08",
        "status": "A",
        "authorized_official_last_name": "JOST",
        "authorized_official_first_name": "ZACHARY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-936-4027",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Back Bay Eye Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "VISION SOURCE OF PARK SQUARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.