Active NPI
Jasmin Ann Geevarghese
- Student in an Organized Health Care Education/Training Program
- West Roxbury, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- OPT.0003718
- 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.
-
- Ophthalmology Physician
- Boston, MA
- NPI 1932146594
-
- Optometrist
- Wellesley, MA
- NPI 1962422741
-
- Eyewear Supplier
- East Weymouth, MA
- NPI 1851966162
-
- Eyewear Supplier
- Pembroke, MA
- NPI 1598330722
-
- Eyewear Supplier
- Boston, MA
- NPI 1700923687
-
- Ophthalmology Physician
- Boston, MA
- NPI 1083660534
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ophthalmic Consultants of Boston Inc
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
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230303001533 | MA | Practitioner - Optometry | 8527431030 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5568 | MA | MD | Speech-Language Pathologist |
| OPT.0003718 | CO | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Newton Wellesley Eye Associates, P.C. | Current | Accepting new patients | |
| Ophthalmic Consultants of Boston, Inc | Current | Accepting new patients | |
| Ophthalmic Consultants of Boston, Inc. | Current | 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | OPT.0003718 | CO | Primary |
Addresses
NPPES NPI RegistryPrimary 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.