2020, Inc
Organization Active NPI Optometrist · Boston, MA
NPI 1326460916 · NPPES record last updated Feb 16, 2022
Key facts
- NPI
- 1326460916
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- License
- 468R (MA)
- Legal business name
- 2020, INC
- Practice address
- 33 Arch St FL 17
(Note: This Is a Mobile Only Practice)
Boston, MA 02110-1424 - Phone
- (206) 601-9374
- NPI assigned
- Jan 15, 2014
- Organization subpart
- No
Authorized official
- Name
- Howard Leslie Bornstein
- Title
- Board Member
- Phone
- (206) 601-9374
Practitioners 10
-
Kathleen Allen, O.D.
-
Katherine E Harkins, O.D.
-
Alina Reznik, O.D.
-
Meritza Rondon Kluge, O.D.
-
Michelle Jessica Sandler, O.D.
-
Debi Sarma, OD
-
David Gibson, OD
-
Rebecca Jost, OD
-
Francine Verblow, O.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20181030002087 | MA | Part B Supplier - Clinic/Group Practice | 4880947332 |
Receives reassigned benefits from 7 practitioners Practice locations: Everett, MA |
National Provider Directory
Locations
222 Berkeley St
Fl 12
Boston, MA 02116
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | 468R | MA | Yes |
Addresses
Primary practice location
33 Arch St FL 17
(Note: This Is a Mobile Only Practice)
Boston, MA 02110-1424
Mailing address
33 Arch St FL 17
(Note: This Is a Mobile Only Practice)
Boston, MA 02110-1424
Phone (206) 601-9374
Other names
- 2020 On-site
- Project 2020, Inc.
Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 16, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.