Individual provider Active NPI

Everett B Sabree, OD

  • Optometrist
  • Boston, MA
National Provider Identifier
1386713543
Registry record updated Apr 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2972 Issued in MA
Practice address
130 Dartmouth St
Boston, MA 02116-5118
Phone
(617) 266-8188
Fax
(617) 266-0324
NPI assigned
Nov 6, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 7, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2972 MA Primary

Addresses

Primary practice location

130 Dartmouth St
Boston, MA 02116-5118

Mailing address

130 Dartmouth St
Boston, MA 02116-5118
Phone (617) 266-8188

Other identifiers 1

IdentifierTypeStateIssuer
9759026MedicaidMA

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
I20080311000071 MA Practitioner - Optometry 7012092455 Practice locations: Boston, MA

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

130 Dartmouth St
Boston, MA 02116-5118
Phone (617) 266-8188

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2972MAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Everett Sabree Optometrist PastSince Feb 20, 2008 Accepting new patients

Organizations & group practices 1

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": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207526400000",
    "number": "1386713543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 DARTMOUTH ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021165118",
            "telephone_number": "617-266-8188",
            "fax_number": "617-266-0324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 DARTMOUTH ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021165118",
            "telephone_number": "617-266-8188",
            "fax_number": "617-266-0324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SABREE",
        "first_name": "EVERETT",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-06",
        "last_updated": "2008-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "2972",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9759026",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.