Individual provider Active NPI

Gabriella M Velonias, OD

  • Student in an Organized Health Care Education/Training Program
  • Lexington, MA
National Provider Identifier
1225657471
Registry record updated Apr 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
2261 Massachusetts Ave
Lexington, MA 02421-6712
Phone
(617) 872-2177
NPI assigned
Apr 8, 2020
Last updated
Apr 8, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU Primary

Addresses

Primary practice location

2261 Massachusetts Ave
Lexington, MA 02421-6712

Mailing address

2261 Massachusetts Ave
Lexington, MA 02421-6712
Phone (617) 872-2177

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
I20210825000459 MA Practitioner - Optometry 8426453796 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2020
Medicare assignment
May accept Medicare assignment
Group practices
Lexington Eye Associates, IncGroup PAC ID 5698748986, 33 clinicians
Lexington Eye Associates - BidGroup PAC ID 8820315682, 33 clinicians

Practice addresses (Care Compare)

1040 Massachusetts Ave
Arlington, MA 02476-4315
Phone (781) 648-1620

21 Worthen Rd
Lexington, MA 02421-4835
Phone (781) 862-1620

534 Boston Post Rd
Suite 210
Sudbury, MA 01776-3508
Phone (781) 876-2020

980 Washington St
Suite 210
Dedham, MA 02026-6731
Phone (781) 876-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5428MAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Lexington Eye Associates, Inc. CurrentSince Aug 1, 2021 Accepting new patients
Lexington Eye Associates, Inc CurrentSince Aug 1, 2021 Accepting new patients
Emerson Hospital Current Accepting new patients
Lexington Eye Associates - Bid CurrentSince Aug 1, 2021 Accepting new patients

Locations

1040 Massachusetts Ave
Arlington, MA 02476
Phone (781) 648-1620

21 Worthen Rd
Lexington, MA 02421
Phone (617) 862-1620

Interoperability endpoints

  • Direct secure messaging: velonias.gabriella.epho@direct.partners.masshiway.net

Organizations & group practices 4

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": "1586304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586304000000",
    "number": "1225657471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2261 MASSACHUSETTS AVE",
            "city": "LEXINGTON",
            "state": "MA",
            "postal_code": "024216712",
            "telephone_number": "617-872-2177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2261 MASSACHUSETTS AVE",
            "city": "LEXINGTON",
            "state": "MA",
            "postal_code": "024216712",
            "telephone_number": "617-872-2177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELONIAS",
        "first_name": "GABRIELLA",
        "middle_name": "M",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-08",
        "last_updated": "2020-04-08",
        "certification_date": "2020-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, MA

Sources for this page

Verify at the official NPI Registry.