Individual provider Active NPI

Kristen Brown, O.D.

  • Optometrist
  • Boston, MA
National Provider Identifier
1356456321
Registry record updated Dec 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3930 Issued in MA
Practice address
99 Bedford Street
Suite 102
Boston, MA 02111
Phone
(617) 426-0370
NPI assigned
Aug 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3930 MA Primary

Addresses

Primary practice location

99 Bedford Street
Suite 102
Boston, MA 02111

Mailing address

930 Commonwealth Ave
Suite 2a
Boston, MA 02215-1274
Phone (617) 262-2020

Other identifiers 9

IdentifierTypeStateIssuer
1301144MedicaidMA
AA111772OtherMAHARVARD PILGRIM
003930OtherMATUFTS PROVIDER NUMBER
06786OtherMADAVIS VISION PROVIDER #
W16260OtherMABCBSMA ID #
0010778OtherMANHP SERVICE PROVIDER #
22-02738OtherMAUNITED HEALTH CARE PROVID
2575678OtherMAAETNA PROVIDER NUMBER
W1734501OtherMAMEDICARE

Other names 1

  • Dr. Kristen Fillion Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20090205000234 MA Practitioner - Optometry 2567526577 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1992
Medicare assignment
May accept Medicare assignment
Group practices
Forefront Eyecare PLLCGroup PAC ID 8123319043, 6 clinicians

Practice addresses (Care Compare)

99 Bedford St
Lbby 102
Boston, MA 02111-2210
Phone (617) 426-0370

Merit-based Incentive Payment System (MIPS)

Final score
79.5 of 100Reported as group
Quality
58.99
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3930MAMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
New England Eye Institute Inc. Optometrist CurrentSince Mar 21, 2020 Accepting new patients
Forefront Eyecare PLLC Optometrist CurrentSince Jan 15, 2024 Accepting new patients
Physicians Eye Care, LLC. PastSince Oct 1, 2023 Accepting new patients

Locations

99 Bedford St
Lbby 102
Boston, MA 02111
Phone (617) 426-0370

400 Commonwealth Ave
Ste 2
Boston, MA 02215
Phone (617) 426-0370

930 Commonwealth Ave
Ste 2A
Boston, MA 02215
Phone (617) 262-2020

930 Commonwealth Ave
Boston, MA 02215
Phone (617) 262-2020

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": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733961600000",
    "number": "1356456321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 COMMONWEALTH AVE",
            "address_2": "SUITE 2A",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022151274",
            "telephone_number": "617-262-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 BEDFORD STREET",
            "address_2": "SUITE 102",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02111",
            "telephone_number": "617-426-0370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "KRISTEN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-20",
        "last_updated": "2024-12-12",
        "certification_date": "2024-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "3930",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1301144",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "AA111772",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS PROVIDER NUMBER",
            "identifier": "003930",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAVIS VISION PROVIDER #",
            "identifier": "06786",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSMA ID #",
            "identifier": "W16260",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NHP SERVICE PROVIDER #",
            "identifier": "0010778",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE PROVID",
            "identifier": "22-02738",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROVIDER NUMBER",
            "identifier": "2575678",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "W1734501",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTEN",
            "last_name": "FILLION",
            "prefix": "DR.",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.