Individual provider Active NPI

Kristy B Wooler, OD

  • Optometrist
  • Boston, MA
National Provider Identifier
1205169398
Registry record updated Dec 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4756 Issued in MA
Practice address
50 Staniford St
Suite 600
Boston, MA 02114-2517
Phone
(617) 367-4800
Fax
(617) 723-7028
NPI assigned
Sep 8, 2009
Last updated
Dec 22, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4756 MA Primary

Addresses

Primary practice location

50 Staniford St
Suite 600
Boston, MA 02114-2517

Mailing address

50 Staniford St
Suite 600
Boston, MA 02114-2517
Phone (617) 367-4800

Other identifiers 1

IdentifierTypeStateIssuer
110085162AMedicaidMA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Wooler.Kristy.OCB@direct.partners.masshiway.net Health Information Exchange (HIE)

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
I20091120000322 MA Practitioner - Optometry 1052450699 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

50 Staniford St
Suite 600
Boston, MA 02114-2539
Phone (617) 367-4800

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ophthalmic Consultants of Boston, Inc. CurrentSince Mar 13, 2015 Accepting new patients
Ophthalmic Consultants of Boston, Inc. Current Accepting new patients
Bay Eye Center PC Optometrist CurrentSince Nov 18, 2012 Accepting new patients
Ophthalmic Consultants of Boston, Inc Optometrist CurrentSince Mar 13, 2015 Accepting new patients
Ophthalmic Consultants of Boston, Inc. Current Accepting new patients
Barnstable Eye PC Optometrist Past Accepting new patients

Locations

50 Staniford St
Ste 600
Boston, MA 02114
Phone (617) 367-4800

1 N Main St
Mansfield, MA 02048
Phone (508) 339-7600

284 N Main St
Ste A
Mansfield, MA 02048
Phone (508) 339-7600

20 Roche Brothers Way
Ste 7
North Easton, MA 02356
Phone (508) 238-5200

67 Obery St
Plymouth, MA 02360
Phone (508) 339-7600

282 Route 130
Sandwich, MA 02563
Phone (508) 427-3720

88 Ansel Hallet Rd
West Yarmouth, MA 02673
Phone (508) 771-4848

Interoperability endpoints

  • Direct secure messaging: wooler.kristy.ocb@direct.partners.masshiway.net

Organizations & group practices 6

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": "1252368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640131200000",
    "number": "1205169398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 STANIFORD ST",
            "address_2": "SUITE 600",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021142517",
            "telephone_number": "617-367-4800",
            "fax_number": "617-723-7028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 STANIFORD ST",
            "address_2": "SUITE 600",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021142517",
            "telephone_number": "617-367-4800",
            "fax_number": "617-723-7028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOLER",
        "first_name": "KRISTY",
        "middle_name": "B",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-08",
        "last_updated": "2021-12-22",
        "certification_date": "2021-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "4756",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110085162A",
            "state": "MA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Wooler.Kristy.OCB@direct.partners.masshiway.net",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "50 Staniford St",
            "address_2": "Suite 600",
            "city": "Boston",
            "state": "MA",
            "country_code": "US",
            "postal_code": "021142517",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.