Individual provider Active NPI

Jeffrey Ho, O.D.

  • Optometrist
  • Charlestown, MA
National Provider Identifier
1124480520
Registry record updated Aug 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5148 Issued in MA
Practice address
15 Tufts St
Charlestown, MA 02129-2711
Phone
(857) 238-1161
Fax
(857) 238-1167
NPI assigned
Mar 24, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG003135 PA
Optometrist 152W00000X 5148 MA Primary

Addresses

Primary practice location

15 Tufts St
Charlestown, MA 02129-2711

Mailing address

1091 Boylston St
Apt 23
Boston, MA 02215-3656
Phone (626) 679-5499

Other practice location 1

332 Hanover St
Boston, MA 02113-1901
Phone (617) 724-0037

Other practice location 2

930 Commonwealth Ave
Boston, MA 02215-1274
Phone (617) 396-8596

Other practice location 3

45 Dimock St
Roxbury, MA 02119-1208
Phone (617) 442-8800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161121000637 MA Practitioner - Optometry 2860771516 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

45 Dimock St
Roxbury, MA 02119-1208
Phone (617) 442-8800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OEG003135PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
South Boston Community Health Center CurrentSince May 18, 2019 Accepting new patients
New England Eye Institute Inc. Optometrist CurrentSince Nov 19, 2016 Accepting new patients
Dimock Community Health Center, Inc CurrentSince Aug 15, 2023 Accepting new patients
Dimock Community Health Center, Inc CurrentSince Aug 15, 2023 Accepting new patients
North End Community Health Committee Inc CurrentSince Sep 10, 2016 Accepting new patients

Locations

1340 Boylston St
Boston, MA 02215
Phone (617) 267-0900

332 Hanover St
Boston, MA 02113
Phone (617) 643-8000

930 Commonwealth Ave
Boston, MA 02215
Phone (617) 262-2020

15 Tufts St
Charlestown, MA 02129
Phone (857) 238-1100

45 Dimock St
Roxbury, MA 02119

55 Dimock St
Roxbury, MA 02119

409 W Broadway
South Boston, MA 02127
Phone (617) 269-7500

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1458777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692057600000",
    "number": "1124480520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1091 BOYLSTON ST",
            "address_2": "APT 23",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022153656",
            "telephone_number": "626-679-5499",
            "fax_number": "857-238-1167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 TUFTS ST",
            "city": "CHARLESTOWN",
            "state": "MA",
            "postal_code": "021292711",
            "telephone_number": "857-238-1161",
            "fax_number": "857-238-1167"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "332 Hanover St",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021131901",
            "country_code": "US",
            "telephone_number": "617-724-0037",
            "fax_number": "617-643-8120",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "930 Commonwealth Ave",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "022151274",
            "country_code": "US",
            "telephone_number": "617-396-8596",
            "fax_number": "617-236-6323",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "45 Dimock St",
            "address_purpose": "LOCATION",
            "city": "Roxbury",
            "state": "MA",
            "postal_code": "021191208",
            "country_code": "US",
            "telephone_number": "617-442-8800",
            "fax_number": "617-427-4566",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HO",
        "first_name": "JEFFREY",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-24",
        "last_updated": "2023-08-15",
        "certification_date": "2023-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG003135",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "5148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlestown, MA

Sources for this page

Verify at the official NPI Registry.