NPIMap

Organization Active NPI

2020, Inc

Doing business as 2020 On-site

  • Optometrist
  • Boston, MA
National Provider Identifier
1326460916
Registry record updated Feb 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
468R Issued in MA
Legal business name
2020, INC
Doing business as
2020 On-site
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
Last updated
Feb 16, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2022

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

Authorized official

Name
Howard Leslie Bornstein
Title
Board Member
Phone
(206) 601-9374

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X 468R MA Primary

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 2

  • 2020 On-site Doing business as
  • Project 2020, Inc. Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181030002087 MA Part B Supplier - Clinic/Group Practice 4880947332 Receives reassigned benefits from 7 practitioners
Practice locations: Everett, MA

National Provider Directory

National Provider Directory

Locations

222 Berkeley St
Fl 12
Boston, MA 02116

29 Garden St
Everett, MA 02149
Phone (617) 356-8117

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1389744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644969600000",
    "number": "1326460916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 ARCH ST FL 17",
            "address_2": "(NOTE: THIS IS A MOBILE ONLY PRACTICE)",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021101424",
            "telephone_number": "206-601-9374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 ARCH ST FL 17",
            "address_2": "(NOTE: THIS IS A MOBILE ONLY PRACTICE)",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021101424",
            "telephone_number": "206-601-9374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "2020, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-15",
        "last_updated": "2022-02-16",
        "certification_date": "2022-02-16",
        "status": "A",
        "authorized_official_last_name": "BORNSTEIN",
        "authorized_official_first_name": "HOWARD",
        "authorized_official_middle_name": "LESLIE",
        "authorized_official_title_or_position": "BOARD MEMBER",
        "authorized_official_telephone_number": "206-601-9374"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "MA",
            "license": "468R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "2020 On-site",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "2020 On-site",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Project 2020, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Boston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.