Active NPI
Barry Kran, OD
- Optometrist
- Watertown, MA
National Provider Identifier
1124028592
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 3279
- Practice address
- 175 North Beacon Street
New England Eye at Perkins School Blvd
Watertown, MA 02472 - Phone
- (617) 924-3434
- Fax
- (617) 236-6323
- NPI assigned
- Jul 28, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 3279 | MA | Primary |
Addresses
Primary practice location
175 North Beacon Street
New England Eye at Perkins School Blvd
Watertown, MA 02472
Mailing address
940 Commonwealth Ave
Suite 2 New England Eye Institute
Boston, MA 02215
Phone (617) 212-2020
Other identifiers 14
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 153196 | Other | HARVARD PILGRIM | |
| MA3279 | Other | EYEMED | |
| 980298 | Other | NETWORK HEALTH | |
| 0353906 | Other | MASS HEALTH | |
| 22362 | Other | NHP | |
| 5004482 | Other | AETNA | |
| 353906 | Medicaid | MA | |
| 37722 | Other | CMSP | |
| 407524 | Other | TUFTS | |
| 417658 | Other | MEDICARE | |
| W15221 | Other | BCBS | |
| 0344494 | Other | CIGNA | |
| 30546 | Other | BMC HEALTHNET | |
| W15721 | Other | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3279 | MA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pratt Ophthalmology Associates Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Ophthalmology Physician
- Boston, MA
- NPI 1083660534
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1200614400000",
"number": "1124028592",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "940 COMMONWEALTH AVE",
"address_2": "SUITE 2 NEW ENGLAND EYE INSTITUTE",
"city": "BOSTON",
"state": "MA",
"postal_code": "02215",
"telephone_number": "617-212-2020",
"fax_number": "617-236-6323"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "175 NORTH BEACON STREET",
"address_2": "NEW ENGLAND EYE AT PERKINS SCHOOL BLVD",
"city": "WATERTOWN",
"state": "MA",
"postal_code": "02472",
"telephone_number": "617-924-3434",
"fax_number": "617-236-6323"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRAN",
"first_name": "BARRY",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-28",
"last_updated": "2008-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MA",
"license": "3279",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM",
"identifier": "153196",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EYEMED",
"identifier": "MA3279",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NETWORK HEALTH",
"identifier": "980298",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MASS HEALTH",
"identifier": "0353906",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NHP",
"identifier": "22362",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5004482",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "353906",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CMSP",
"identifier": "37722",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS",
"identifier": "407524",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "417658",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "W15221",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "0344494",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BMC HEALTHNET",
"identifier": "30546",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "W15721",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Watertown, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.