Organization Active NPI

Douggie OD LLC

  • Optometrist
  • Boston, MA
National Provider Identifier
1104772821
Registry record updated Mar 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
DOUGGIE OD LLC
Practice address
373 Northampton St Apt 102
Boston, MA 02118
Phone
(857) 229-3136
NPI assigned
Mar 5, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2026

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

Authorized official

Name
Gina Janet Pelaez, ODNPI 1083082101
Title
Owner
Phone
(857) 229-3136

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

373 Northampton St Apt 102
Boston, MA 02118

Mailing address

1577 C St Ste 105
PMB 945525
Anchorage, AK 99501-5127

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260514002484 AK Part B Supplier - Clinic/Group Practice 0547739914 Receives reassigned benefits from 1 practitioner
Practice locations: Boston, MA

National Provider Directory

National Provider Directory

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": "1772668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772668800000",
    "number": "1104772821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1577 C ST STE 105",
            "address_2": "PMB 945525",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995015127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "373 NORTHAMPTON ST APT 102",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02118",
            "telephone_number": "857-229-3136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUGGIE OD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-05",
        "last_updated": "2026-03-05",
        "certification_date": "2026-02-21",
        "status": "A",
        "authorized_official_last_name": "PELAEZ",
        "authorized_official_first_name": "GINA",
        "authorized_official_middle_name": "JANET",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "857-229-3136",
        "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": []
}

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 Mar 5, 2026; 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.