Active NPI
Kathryn Surdovel, O.D.
- Optometrist
- Worcester, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT5451
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 2016
- Medicare assignment
- May accept Medicare assignment
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| OPT5451 | MA | MD | Optometrist |
| OEG003191 | PA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brunswick Eye Care Associates, PA | Optometrist | Current | Accepting new patients |
| McPhs University | Optometrist | Current | Accepting new patients |
| Leominster Family Eyecare PLLC | Optometrist | Past | 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.
-
- Optometrist
- Brunswick, ME
- NPI 1467533588
-
- Optometrist
- Leominster, MA
- NPI 1891342457
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.