Individual provider Active NPI

Jaclyn E. Garlich, OD

  • Optometrist
  • Boston, MA
National Provider Identifier
1154638591
Registry record updated Sep 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5306 Issued in MA
Practice address
126 High St
Boston, MA 02110-2700
Phone
(617) 426-0100
NPI assigned
Sep 7, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 5306 MA Primary

Addresses

Primary practice location

126 High St
Boston, MA 02110-2700

Mailing address

126 High St
Boston, MA 02110-2700
Phone (617) 426-0100

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
I20181002000733 MA Practitioner - Optometry 2062683246 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Envision Optometry, PCGroup PAC ID 4082890041, 2 clinicians

Practice addresses (Care Compare)

126 High St
Suite 100
Boston, MA 02110-2710
Phone (617) 426-0100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Envision Optometry PC Optometrist Current Accepting new patients

Locations

126 High St
Boston, MA 02110
Phone (617) 367-8537

126 High St
Ste 100
Boston, MA 02110
Phone (617) 426-0100

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.

NPI Registry JSON

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

{
    "created_epoch": "1283817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694304000000",
    "number": "1154638591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 HIGH ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021102700",
            "telephone_number": "617-426-0100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 HIGH ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021102700",
            "telephone_number": "617-426-0100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARLICH",
        "first_name": "JACLYN",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-07",
        "last_updated": "2023-09-10",
        "certification_date": "2023-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "5306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.