Individual provider Active NPI

Kathryn Surdovel, O.D.

  • Optometrist
  • Worcester, MA
National Provider Identifier
1346793205
Registry record updated Mar 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT5451 Issued in MA
Practice address
377 Plantation St # 4
Worcester, MA 01605
Phone
(413) 584-4040
NPI assigned
Jul 27, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT5451 MA Primary
Optometrist 152W00000X OPT977 ME
Optometrist 152W00000X OEG003191 PA

Addresses

Primary practice location

377 Plantation St # 4
Worcester, MA 01605

Mailing address

377 Plantation St # 4
Worcester, MA 01605-2245
Phone (413) 584-4040

Other practice location 1

10 Lincoln Sq
Worcester, MA 01608-1135
Phone (508) 373-5830

Other practice location 2

331 Maine St Ste 1
Brunswick, ME 04011-3359
Phone (207) 725-2161

Other practice location 3

35 State Hospital Dr
Bangor, ME 04401-8816
Phone (207) 623-8411 ext. 2645

Other practice location 4

331 Maine St Ste 1
Brunswick, ME 04011-3359
Phone (207) 725-2161

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME, MA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170706001205 ME Practitioner - Optometry 8527336221 Reassigns benefits to 1 organization
I20211122001410 MA Practitioner - Optometry 8527336221 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2016
Medicare assignment
May accept Medicare assignment
Group practices
McPhs UniversityGroup PAC ID 2365682713, 19 clinicians

Practice addresses (Care Compare)

10 Lincoln SQ
Worcester, MA 01608-1135
Phone (508) 373-5830

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT5451MAMDOptometrist
OEG003191PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Brunswick Eye Care Associates, PA Optometrist CurrentSince May 30, 2017 Accepting new patients
McPhs University Optometrist CurrentSince Aug 17, 2021 Accepting new patients
Leominster Family Eyecare PLLC Optometrist PastSince Aug 17, 2021 Accepting new patients

Locations

10 Lincoln Sq
Worcester, MA 01608
Phone (508) 373-5607

10 Lincoln Sq
Rm 112G
Worcester, MA 01608

331 Maine St
Ste 1
Brunswick, ME 04011
Phone (207) 725-2161

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": "1469577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774310400000",
    "number": "1346793205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "377 PLANTATION ST # 4",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016052245",
            "telephone_number": "413-584-4040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "377 PLANTATION ST # 4",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "01605",
            "telephone_number": "413-584-4040"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10 Lincoln Sq",
            "address_purpose": "LOCATION",
            "city": "Worcester",
            "state": "MA",
            "postal_code": "016081135",
            "country_code": "US",
            "telephone_number": "508-373-5830",
            "fax_number": "508-519-5512",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "331 Maine St Ste 1",
            "address_purpose": "LOCATION",
            "city": "Brunswick",
            "state": "ME",
            "postal_code": "040113359",
            "country_code": "US",
            "telephone_number": "207-725-2161",
            "fax_number": "207-725-9189",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "35 State Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Bangor",
            "state": "ME",
            "postal_code": "044018816",
            "country_code": "US",
            "telephone_number": "207-623-8411 x2645",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "331 Maine St Ste 1",
            "address_purpose": "LOCATION",
            "city": "Brunswick",
            "state": "ME",
            "postal_code": "040113359",
            "country_code": "US",
            "telephone_number": "207-725-2161",
            "fax_number": "207-725-9189",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SURDOVEL",
        "first_name": "KATHRYN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-27",
        "last_updated": "2026-03-24",
        "certification_date": "2026-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "OPT5451",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ME",
            "license": "OPT977",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG003191",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Worcester, MA

Sources for this page

Verify at the official NPI Registry.