Individual provider Active NPI

David J Schurgin, O.D.

  • Optometrist
  • Stoneham, MA
National Provider Identifier
1235135781
Registry record updated Jul 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2345T Issued in MA
Practice address
224 Park St
Apt C5
Stoneham, MA 02180-2758
Phone
(781) 438-8407
NPI assigned
Jun 21, 2005
Last updated
Jul 25, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 25, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2345T MA Primary
Low Vision Rehabilitation Optometrist 152WL0500X 2345T MA

Addresses

Primary practice location

224 Park St
Apt C5
Stoneham, MA 02180-2758

Mailing address

224 Park St
Apt C5
Stoneham, MA 02180-2758
Phone (781) 438-8407

Other identifiers 6

IdentifierTypeStateIssuer
0395072MedicaidMA
P00112641OtherRR MEDICARE
151581OtherMAHARVARD/PILGRIMHEALTHCARE
3236433OtherAETNA
W15232OtherMABLUE CROSS BLUE SHIELD
001333518OtherHIGHMARK BCBS

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
I20041221000010 MA Practitioner - Optometry 9133187370 Practice locations: Stoneham, MA

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

224 Park St
Apt C5
Stoneham, MA 02180-2758
Phone (781) 438-8407

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2345TMAMDLow Vision Rehabilitation Optometrist
2345MAMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
William B Rice Eventide Home Past Accepting new patients

Organizations & group practices 1

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": "1119312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784937600000",
    "number": "1235135781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 PARK ST",
            "address_2": "APT C5",
            "city": "STONEHAM",
            "state": "MA",
            "postal_code": "021802758",
            "telephone_number": "781-438-8407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 PARK ST",
            "address_2": "APT C5",
            "city": "STONEHAM",
            "state": "MA",
            "postal_code": "021802758",
            "telephone_number": "781-438-8407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHURGIN",
        "first_name": "DAVID",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-21",
        "last_updated": "2026-07-25",
        "certification_date": "2026-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "2345T",
            "primary": true
        },
        {
            "code": "152WL0500X",
            "taxonomy_group": "",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": "MA",
            "license": "2345T",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0395072",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00112641",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD/PILGRIMHEALTHCARE",
            "identifier": "151581",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "3236433",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "W15232",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BCBS",
            "identifier": "001333518",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stoneham, MA

Sources for this page

Verify at the official NPI Registry.