Active NPI
Joan Marie Exford, OD
- Optometrist
- Boston, MA
National Provider Identifier
1144383472
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2129
- Practice address
- 400 Commonwealth Ave
Unit 2
Boston, MA 02215 - Phone
- (617) 426-0370
- Fax
- (617) 426-4924
- NPI assigned
- Dec 18, 2006
- Last updated
- Mar 22, 2016
- Sex
- Female
- 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 | 2129 | MA | Primary |
Addresses
Primary practice location
400 Commonwealth Ave
Unit 2
Boston, MA 02215
Mailing address
400 Commonwealth Ave
Unit 2
Boston, MA 02215
Phone (617) 426-0370
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0308714 | Medicaid | MA | |
| 2257205 | Other | AETNA HEALTHCARE | |
| 39436002 | Other | DAVIS VISION EYECARE | |
| 759106 | Other | MA | TUFTS HEALTH PLAN |
| 2129 | Other | VISION BENEFITS OF AMERIC | |
| W16072 | Other | MA | BCBS MA |
| 2200596 | Other | UNITED HEALTHCARE | |
| 042304182 | Other | VISION SERVICE PLAN | |
| 152088 | Other | HARVARD PILGRIM HEALTHCAR |
Other names 1
- Dr. Joan Marie Korb
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2129 | MA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Forefront Eyecare PLLC | Optometrist | Past | Accepting new patients |
| Physicians Eye Care, LLC. | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Optometrist
- Boston, MA
- NPI 1578713228
-
- Ophthalmology Physician
- Chestnut Hill, MA
- NPI 1679018279
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1458604800000",
"number": "1144383472",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 COMMONWEALTH AVE",
"address_2": "UNIT 2",
"city": "BOSTON",
"state": "MA",
"postal_code": "02215",
"telephone_number": "617-426-0370",
"fax_number": "617-426-4924"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 COMMONWEALTH AVE",
"address_2": "UNIT 2",
"city": "BOSTON",
"state": "MA",
"postal_code": "02215",
"telephone_number": "617-426-0370",
"fax_number": "617-426-4924"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EXFORD",
"first_name": "JOAN",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-18",
"last_updated": "2016-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MA",
"license": "2129",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0308714",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HEALTHCARE",
"identifier": "2257205",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DAVIS VISION EYECARE",
"identifier": "39436002",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS HEALTH PLAN",
"identifier": "759106",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VISION BENEFITS OF AMERIC",
"identifier": "2129",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS MA",
"identifier": "W16072",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "2200596",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VISION SERVICE PLAN",
"identifier": "042304182",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM HEALTHCAR",
"identifier": "152088",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JOAN",
"last_name": "KORB",
"middle_name": "MARIE",
"prefix": "DR.",
"credential": "OD",
"code": "2",
"type": "Professional Name"
}
]
}
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 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.