Individual provider Active NPI

Claudine Y Kawabata, OD

  • Optometrist
  • Boston, MA
National Provider Identifier
1396797908
Registry record updated Jan 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4219 Issued in MA
Practice address
50 Staniford St Ste 600
Boston, MA 02114-2517
Phone
(617) 367-4800
Fax
(617) 723-7028
NPI assigned
May 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4219 MA Primary

Addresses

Primary practice location

50 Staniford St Ste 600
Boston, MA 02114-2517

Mailing address

50 Staniford St Ste 600
Ophthalmic Consultants of Boston
Boston, MA 02114-2517
Phone (617) 367-4800

Other identifiers 4

IdentifierTypeStateIssuer
0324060MedicaidMA
465385OtherTUFTS HEALTH PLAN
W16284OtherMABLUE CROSS BLUE SHIELD
152609OtherHARVARD PILGRIM HEALTH PL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Kawabata.Claudine.OCB@direct.partners.masshiway.net Health Information Exchange (HIE)

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
I20100317000157 MA Practitioner - Optometry 7214062165 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Georgetown Eye Associates IncGroup PAC ID 9436284841, 2 clinicians
Ophthalmic Consultants of Boston IncGroup PAC ID 4789651498, 68 clinicians

Practice addresses (Care Compare)

2 Central St
Suite 2
Georgetown, MA 01833-2070
Phone (978) 352-5966

50 Staniford St
Suite 600
Boston, MA 02114-2539
Phone (617) 367-4800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4219MAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Ophthalmic Consultants of Boston, Inc. Current Accepting new patients
Ophthalmic Consultants of Boston, Inc Optometrist CurrentSince Sep 24, 2010 Accepting new patients
Burlington Vision Associates Inc Optometrist CurrentSince Sep 1, 2009 Accepting new patients
Ophthalmic Consultants of Boston, Inc. CurrentSince Sep 24, 2010 Accepting new patients
Georgetown Eye Associates Inc Optometrist CurrentSince Jan 10, 2010 Accepting new patients
Ophthalmic Consultants of Boston, Inc. Current Accepting new patients

Locations

50 Staniford St
Ste 600
Boston, MA 02114
Phone (617) 367-4800

385 Cambridge St
Burlington, MA 01803
Phone (781) 272-9365

104 Endicott St
Ste 303
Danvers, MA 01923
Phone (978) 524-0050

2 Central St
Ste 2
Georgetown, MA 01833
Phone (978) 352-5966

282 Route 130
Sandwich, MA 02563
Phone (508) 427-3720

Interoperability endpoints

  • Direct secure messaging: kawabata.claudine.ocb@direct.partners.masshiway.net

Organizations & group practices 6

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": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641945600000",
    "number": "1396797908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 STANIFORD ST STE 600",
            "address_2": "OPHTHALMIC CONSULTANTS OF BOSTON",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021142517",
            "telephone_number": "617-367-4800",
            "fax_number": "617-589-3905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 STANIFORD ST STE 600",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021142517",
            "telephone_number": "617-367-4800",
            "fax_number": "617-723-7028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAWABATA",
        "first_name": "CLAUDINE",
        "middle_name": "Y",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-16",
        "last_updated": "2022-01-12",
        "certification_date": "2022-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "4219",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0324060",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN",
            "identifier": "465385",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "W16284",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM HEALTH PL",
            "identifier": "152609",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Kawabata.Claudine.OCB@direct.partners.masshiway.net",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "50 Staniford St Ste 600",
            "city": "Boston",
            "state": "MA",
            "country_code": "US",
            "postal_code": "021142517",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.