Individual provider Active NPI

Amy Lee Cuomo, O.D.

  • Optometrist
  • Cambridge, MA
National Provider Identifier
1235588187
Registry record updated Aug 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5242 Issued in MA
Practice address
19 Dunster St
Cambridge, MA 02138-5002
Phone
(617) 354-5590
NPI assigned
Jun 10, 2016
Last updated
Aug 2, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 5242 MA Primary

Addresses

Primary practice location

19 Dunster St
Cambridge, MA 02138-5002

Mailing address

19 Dunster St
Cambridge, MA 02138-5002
Phone (617) 354-5590

Other names 1

  • Amy Lee Rayla Former name

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
I20210726001347 MA Practitioner - Optometry 4385938679 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Massachusetts Eye Associates PCGroup PAC ID 3476512625, 13 clinicians

Practice addresses (Care Compare)

19 Village SQ
Chelmsford, MA 01824-2712
Phone (978) 256-5600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5242MAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Massachusetts Eye Associates PC CurrentSince Aug 1, 2021 Accepting new patients
Massachusetts Eye Associates PC Optometrist CurrentSince Aug 1, 2021 Accepting new patients

Locations

19 Village Sq
Chelmsford, MA 01824
Phone (978) 256-5600

33 Bartlett St
Ste 101
Lowell, MA 01852
Phone (978) 256-5600

500 Clark Rd
Ste 3B
Tewksbury, MA 01876
Phone (978) 256-5600

Organizations & group practices 2

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": "1465516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596326400000",
    "number": "1235588187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 DUNSTER ST",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021385002",
            "telephone_number": "617-354-5590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 DUNSTER ST",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021385002",
            "telephone_number": "617-354-5590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUOMO",
        "first_name": "AMY",
        "middle_name": "LEE",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-10",
        "last_updated": "2020-08-02",
        "certification_date": "2020-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "5242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "RAYLA",
            "middle_name": "LEE",
            "credential": "OD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cambridge, MA

Sources for this page

Verify at the official NPI Registry.