Individual provider Active NPI

Ernest V. Loewenstein, O.D.

  • Vision Therapy Optometrist
  • Newton, MA
National Provider Identifier
1205832359
Registry record updated Feb 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vision Therapy OptometristTaxonomy code 152WV0400X
License
2623 Issued in MA
Practice address
471 Washington St
Newton, MA 02458-1450
Phone
(617) 244-6454
Fax
(617) 965-3685
NPI assigned
Jun 23, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 6, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vision Therapy Optometrist 152WV0400X 2623 MA Primary

Addresses

Primary practice location

471 Washington St
Newton, MA 02458-1450

Mailing address

471 Washington St
Newton, MA 02458-1450
Phone (617) 244-6454

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
I20090812000665 MA Practitioner - Optometry 0345394219 Practice locations: Newton, MA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1119484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328486400000",
    "number": "1205832359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "471 WASHINGTON ST",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024581450",
            "telephone_number": "617-244-6454",
            "fax_number": "617-965-3685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "471 WASHINGTON ST",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024581450",
            "telephone_number": "617-244-6454",
            "fax_number": "617-965-3685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOEWENSTEIN",
        "first_name": "ERNEST",
        "middle_name": "V.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-23",
        "last_updated": "2012-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "MA",
            "license": "2623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton, MA

Sources for this page

Verify at the official NPI Registry.