Nicole Quinn, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

4251 Issued in MA

Practice address

1255 Boylston St
Boston, MA 02215-3468

Phone

(617) 262-2020

Fax

(617) 236-6323

NPI assigned

Jul 21, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Pratt Ophthalmology Associates Inc

  • Ophthalmology Physician
  • Boston, MA
  • NPI 1083660534
  Medicare reassignment NPD
• Tufts Medical Center, Inc.

  • General Acute Care Hospital
  • Boston, MA
  • NPI 1730132515
  Medicare reassignment NPD
• Pratt Ophthalmology Associates, Inc

  • Optician
  • Brighton, MA
  • NPI 1063531648
  NPD
• Tufts Medical Center, Inc.

  • Psychiatric Hospital Unit
  • Boston, MA
  • NPI 1053350306
  NPD
• New England Eye Institute Inc.

  • Optometrist
  • Boston, MA
  • NPI 1487607388
  NPD (past)

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

{
    "created_epoch": "1121904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306972800000",
    "number": "1376542209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1255 BOYLSTON ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022153468",
            "telephone_number": "617-262-2020",
            "fax_number": "617-236-6323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1255 BOYLSTON ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022153468",
            "telephone_number": "617-262-2020",
            "fax_number": "617-236-6323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUINN",
        "first_name": "NICOLE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-21",
        "last_updated": "2011-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "4251",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "336190",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kerri Ann Quinn, FNP
• Lisa Quinn, NP, PHD
• Mary Quinn, NNP-BC
• Maryanne Quinn, MD
• Max Mackenzie Quinn, MD
• Nicolle Quinn, MS, RD, LDN
• Samantha Quinn
• Sarah Quinn
• Sarah Natalie Quinn
• Sean Quinn, PA-C

• Optometrist in Boston, MA
• Providers in Boston, MA by specialty
• Optometrist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2011; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.