Individual provider Active NPI

Abigail Virginia Colbert, OD

  • Optometrist
  • Natick, MA
National Provider Identifier
1275194847
Registry record updated Apr 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5365 Issued in MA
Practice address
1245 Worcester St Ste 1042
Natick, MA 01760-1529
Phone
(508) 653-0919
Fax
(508) 906-6067
NPI assigned
Jun 25, 2019
Last updated
Apr 14, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Optometrist 152W00000X 5365 MA Primary

Addresses

Primary practice location

1245 Worcester St Ste 1042
Natick, MA 01760-1529

Mailing address

15 Belmont St
Cambridge, MA 02138-4404
Phone (617) 354-5100

Other practice location 1

6 Massasoit Ave
Plymouth, MA 02360-5992
Phone (774) 269-9045

Other practice location 2

6 Massasoit Ave
Plymouth, MA 02360-5992
Phone (774) 269-9045

Other practice location 3

15 Belmont St
Cambridge, MA 02138
Phone (617) 354-5100

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
I20191127001021 MA Practitioner - Optometry 1850724188 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lickteig Family Eyecare PCGroup PAC ID 6002096328, 14 clinicians

Practice addresses (Care Compare)

4110 Mystic Valley Pkwy
Medford, MA 02155-6931
Phone (781) 350-7008

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lickteig Family Eyecare PC Optometrist CurrentSince Nov 16, 2021 Accepting new patients

Locations

870 Providence Hwy
Dedham, MA 02026
Phone (781) 328-0067

280 School St
Ste J140
Mansfield, MA 02048
Phone (508) 594-4510

15 Brook St
Ste 3
Medfield, MA 02052

4110 Mystic Valley Pkwy
Medford, MA 02155
Phone (781) 350-7008

1245 Worcester St
Ste 1024
Natick, MA 01760
Phone (508) 653-0223

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": "1561420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744588800000",
    "number": "1275194847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 BELMONT ST",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021384404",
            "telephone_number": "617-354-5100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1245 WORCESTER ST STE 1042",
            "city": "NATICK",
            "state": "MA",
            "postal_code": "017601529",
            "telephone_number": "508-653-0919",
            "fax_number": "508-906-6067"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6 Massasoit Ave",
            "address_purpose": "LOCATION",
            "city": "Plymouth",
            "state": "MA",
            "postal_code": "023605992",
            "country_code": "US",
            "telephone_number": "774-269-9045",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6 Massasoit Ave",
            "address_purpose": "LOCATION",
            "city": "Plymouth",
            "state": "MA",
            "postal_code": "023605992",
            "country_code": "US",
            "telephone_number": "774-269-9045",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15 Belmont St",
            "address_purpose": "LOCATION",
            "city": "Cambridge",
            "state": "MA",
            "postal_code": "02138",
            "country_code": "US",
            "telephone_number": "617-354-5100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLBERT",
        "first_name": "ABIGAIL",
        "middle_name": "VIRGINIA",
        "name_prefix": "Ms.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-25",
        "last_updated": "2025-04-14",
        "certification_date": "2025-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "5365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Natick, MA

Sources for this page

Verify at the official NPI Registry.