Individual provider Active NPI

Jasmin Ann Geevarghese

  • Student in an Organized Health Care Education/Training Program
  • West Roxbury, MA
National Provider Identifier
1245802859
Registry record updated Jul 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
License
OPT.0003718 Issued in CO
Practice address
1400 VFW Pkwy
West Roxbury, MA 02132-4927
Phone
(617) 323-7700
NPI assigned
Jul 13, 2021
Sex
Female
Sole proprietor
No

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 and National Provider Directory roles.

Care Compare profile

Medicare Care Compare
Specialty
OptometryAlso: Ophthalmology
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ophthalmic Consultants of Boston Inc 68 clinicians

Practice addresses (Care Compare)

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

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20230303001533 MA Practitioner - OptometryPractitioner - Ophthalmology 8527431030 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5568MAMDSpeech-Language Pathologist
OPT.0003718COMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Newton Wellesley Eye Associates, P.C. CurrentSince Nov 24, 2022 Accepting new patients
Ophthalmic Consultants of Boston, Inc CurrentSince Sep 30, 2024 Accepting new patients
Ophthalmic Consultants of Boston, Inc. CurrentSince Sep 30, 2024 Accepting new patients
Pratt Ophthalmology Associates Inc Past Accepting new patients

Locations

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

2000 Washington St
Ste 462
Newton Lower Falls, MA 02462
Phone (617) 332-6311

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

195 West St
#1
Waltham, MA 02451
Phone (781) 487-2200

60 Walnut St
Ste 2
Wellesley Hills, MA 02481
Phone (617) 964-1050

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X OPT.0003718 CO Primary

Addresses

NPPES NPI Registry

Primary practice location

1400 VFW Pkwy
West Roxbury, MA 02132-4927

Mailing address

15 Alton CT Apt 3
Brookline, MA 02446-6514
Phone (954) 790-9990

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 13, 2021.

{
    "created_epoch": "1626134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626134400000",
    "number": "1245802859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 ALTON CT APT 3",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024466514",
            "telephone_number": "954-790-9990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 VFW PKWY",
            "city": "WEST ROXBURY",
            "state": "MA",
            "postal_code": "021324927",
            "telephone_number": "617-323-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEEVARGHESE",
        "first_name": "JASMIN",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-13",
        "last_updated": "2021-07-13",
        "certification_date": "2021-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CO",
            "license": "OPT.0003718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Roxbury, MA

Sources for this page

Verify at the official NPI Registry.