Individual provider Active NPI

Andrew D McLeod, O.D.

  • Optometrist
  • Boston, MA
National Provider Identifier
1275735888
Registry record updated Dec 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT4546 Issued in MA
Practice address
99 Bedford Street
Ste 102
Boston, MA 02211
Phone
(617) 426-0370
Fax
(617) 426-4924
NPI assigned
Jun 5, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4586 MA
Optometrist 152W00000X OPT4546 MA Primary

Addresses

Primary practice location

99 Bedford Street
Ste 102
Boston, MA 02211

Mailing address

99 Bedford St Lbby 102
Boston, MA 02111-2210
Phone (617) 426-0370

Other identifiers 4

IdentifierTypeStateIssuer
0001919OtherMAMEDICARE
W16515OtherMABLUE CROSS BLUE SHIELD
0715255MedicaidMA
AA101658OtherMAHARVARD PILGRIM

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
I20070830000264 MA Practitioner - Optometry 4284727678 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2006
Medicare assignment
May accept Medicare assignment
Group practices
Forefront Eyecare PLLCGroup PAC ID 8123319043, 6 clinicians

Practice addresses (Care Compare)

99 Bedford St
Lbby 102
Boston, MA 02111-2210
Phone (617) 426-0370

Merit-based Incentive Payment System (MIPS)

Final score
79.5 of 100Reported as group
Quality
58.99
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4586MAMDClinical Psychologist
OPT4546MAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Forefront Eyecare PLLC Optometrist CurrentSince Nov 1, 2017 Accepting new patients
Physicians Eye Care, LLC. PastSince Dec 1, 2019 Accepting new patients
Leominster Family Eyecare PLLC Optometrist Past Accepting new patients

Locations

99 Bedford St
Lbby 102
Boston, MA 02111
Phone (617) 426-0370

400 Commonwealth Ave
Ste 2
Boston, MA 02215
Phone (617) 426-0370

Organizations & group practices 3

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1181001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733961600000",
    "number": "1275735888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 BEDFORD ST LBBY 102",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021112210",
            "telephone_number": "617-426-0370",
            "fax_number": "617-426-4924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 BEDFORD STREET",
            "address_2": "STE 102",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02211",
            "telephone_number": "617-426-0370",
            "fax_number": "617-426-4924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCLEOD",
        "first_name": "ANDREW",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-05",
        "last_updated": "2024-12-12",
        "certification_date": "2024-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "4586",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "OPT4546",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "0001919",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "W16515",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0715255",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "AA101658",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.