Individual provider Active NPI

Summer Joy McGeever, O.D.

  • Optometrist
  • Cambridge, MA
National Provider Identifier
1295059830
Registry record updated Oct 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4728 Issued in MA
Practice address
100 Cambridgeside PL # 2W110
Cambridge, MA 02141-2218
Phone
(617) 577-8440
NPI assigned
Mar 25, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 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 4728 MA Primary

Addresses

Primary practice location

100 Cambridgeside PL # 2W110
Cambridge, MA 02141-2218

Mailing address

48 Story St
Boston, MA 02127-3073

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20191213001126 CA Practitioner - Optometry 9638392152 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4728MAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mission City Community Network, Inc. CurrentSince Oct 2, 2019 Accepting new patients
Mission City Community Network, Inc. CurrentSince Oct 2, 2019 Accepting new patients
Summer Eyes Optometry, Inc Past Accepting new patients
The Vision Standard Optometrist PastSince Dec 6, 2020 Accepting new patients
Luxottica of America Inc Past Accepting new patients

Locations

8363 Reseda Blvd
Ste 11
Northridge, CA 91324
Phone 8188953100602

15206 Parthenia St
Sepulveda, CA 91343

Organizations & group practices 5

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": "1269475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603843200000",
    "number": "1295059830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 STORY ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021273073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CAMBRIDGESIDE PL # 2W110",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021412218",
            "telephone_number": "617-577-8440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGEEVER",
        "first_name": "SUMMER",
        "middle_name": "JOY",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-25",
        "last_updated": "2020-10-28",
        "certification_date": "2020-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "4728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cambridge, MA

Sources for this page

Verify at the official NPI Registry.