Boston Eye Surgery & Laser Center Trust

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

BOSTON EYE SURGERY & LASER CENTER TRUST

Practice address

50 Staniford St
Lobby Level
Boston, MA 02114-2517

Phone

(617) 723-2015

Fax

(617) 723-7787

NPI assigned

Oct 11, 2006

Organization subpart

No

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

Authorized official

Name

Suzanne McDermott

Title

Administrator

Phone

(617) 314-2672

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Boston Eye Surgery & Laser Center Doing business as

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Boston Eye Surgery & Laser Center Trust

  • Ambulatory Surgical Clinic/Center
  • Waltham, MA
  • NPI 1639215502

  2961464516

  Same PAC ID

Listed as

Boston Eye Surgery and Laser CenterCCN 22C0001016

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Boston Eye Srgry Laser-Boston Waltha2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Boston Eye Surgery & Laser Center Trust

  • Ambulatory Surgical Clinic/Center
  • Waltham, MA
  • NPI 1639215502
  NPD tax ID

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mark P Hatton

  • Ophthalmic Plastic and Reconstructive Surgery Physician
  • Boston, MA
  • NPI 1033198098
  NPD (past)
• Stephen B Jamison, M.D.

  • Specialist
  • Stoneham, MA
  • NPI 1538232350
  NPD (past)

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762387200000",
    "number": "1124116264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4175",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "018884175",
            "telephone_number": "617-723-2015",
            "fax_number": "617-723-7787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 STANIFORD ST",
            "address_2": "LOBBY LEVEL",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021142517",
            "telephone_number": "617-723-2015",
            "fax_number": "617-723-7787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOSTON EYE SURGERY & LASER CENTER TRUST",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-11",
        "last_updated": "2025-11-06",
        "certification_date": "2025-11-06",
        "status": "A",
        "authorized_official_last_name": "MCDERMOTT",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "617-314-2672"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1100315506A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Boston Eye Surgery & Laser Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Boston Emergency Services Team Cambridge (Bupa)
• Boston Emergency Services Team MGH Emergency
• Boston Emergency Services Team North Suffolk
• Boston Endodontics
• Boston Endodontics
• Boston Eyewear
• Boston Food Allergy Center
• Boston Food Allergy Center LLC
• Boston Food Allergy Center LLC Bi Network
• Boston Food Allergy Center, Steward Healthcare Network

• Ambulatory Surgical Clinic/Center in Boston, MA
• Providers in Boston, MA by specialty
• Ambulatory Surgical Clinic/Center in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.