Individual provider Active NPI

Anthony Phamduy, OD

  • Optometrist
  • Arlington, MA
National Provider Identifier
1184376998
Registry record updated Feb 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5518 Issued in MA
Practice address
1328 Massachusetts Ave
Arlington, MA 02476-4111
Phone
(781) 488-0094
Fax
(781) 777-2803
NPI assigned
Jan 23, 2022
Last updated
Feb 5, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 5518 MA Primary

Addresses

Primary practice location

1328 Massachusetts Ave
Arlington, MA 02476-4111

Mailing address

8614 Westwood Center Dr FL 9
Vienna, VA 22182-2442
Phone (703) 847-8899

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
I20221213001677 MA Practitioner - Optometry 5496124521 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1328 Massachusetts Ave
Arlington, MA 02476-4111
Phone (781) 488-0094

135 Main St
Sturbridge, MA 01566-1569
Phone (508) 347-7309

164 Sylvan St
Danvers, MA 01923-3561
Phone (978) 744-4500

22 University Dr
Amherst, MA 01002-2243
Phone (413) 549-9400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5518MAMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Harvard Square Eye Care P.C. Optometrist CurrentSince Sep 1, 2022 Accepting new patients
Myeyedr Optometry of Massachusetts P C Optometrist Current Accepting new patients
Myeyedr Optometry of Massachusetts P C Optometrist CurrentSince Jan 13, 2024 Accepting new patients
Myeyedr Optometry of Massachusetts P C Optometrist CurrentSince Jan 13, 2024 Accepting new patients
Myeyedr Optometry of Massachusetts P C Optometrist Past Accepting new patients

Locations

22 University Dr
Amherst, MA 01002
Phone (413) 549-9400

1328 Massachusetts Ave
Arlington, MA 02476
Phone (617) 484-1414

231 Belmont St
Belmont, MA 02478
Phone (617) 484-1414

495 Cabot St
Ste 1
Beverly, MA 01915
Phone (978) 921-5000

33 Broad St
Boston, MA 02109
Phone (617) 742-7200

50 Mall Rd
Ste 114
Burlington, MA 01803
Phone (781) 229-2020

15 Belmont St
Cambridge, MA 02138
Phone (617) 354-5100

19 Dunster St
Cambridge, MA 02138
Phone (617) 312-0272

164 Sylvan St
Danvers, MA 01923
Phone (978) 744-4500

198 Elm St
North Cambridge, MA 02140
Phone (617) 628-6800

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1642896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707091200000",
    "number": "1184376998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8614 WESTWOOD CENTER DR FL 9",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221822442",
            "telephone_number": "703-847-8899",
            "fax_number": "571-223-6780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1328 MASSACHUSETTS AVE",
            "city": "ARLINGTON",
            "state": "MA",
            "postal_code": "024764111",
            "telephone_number": "781-488-0094",
            "fax_number": "781-777-2803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAMDUY",
        "first_name": "ANTHONY",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-01-23",
        "last_updated": "2024-02-05",
        "certification_date": "2024-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "5518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, MA

Sources for this page

Verify at the official NPI Registry.