Individual provider Active NPI

Hannah Edward, O.D.

  • Optometrist
  • Watertown, MA
National Provider Identifier
1447741962
Registry record updated Jul 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5302 Issued in MA
Practice address
550 Arsenal St
Watertown, MA 02472-2853
Phone
(617) 934-9314
Fax
(857) 400-0712
NPI assigned
May 21, 2018
Last updated
Jul 31, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 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 5302 MA Primary

Addresses

Primary practice location

550 Arsenal St
Watertown, MA 02472-2853

Mailing address

550 Arsenal St
Watertown, MA 02472-2853
Phone (617) 934-9314

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH, MA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190116000323 NH Practitioner - Optometry 9436495215
I20190708001945 MA Practitioner - Optometry 9436495215 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

550 Arsenal St
Watertown, MA 02472-2853
Phone (617) 934-9314

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0970NHMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Edward Eye Associates LLC Optometrist CurrentSince Apr 26, 2019 Accepting new patients
Merrimack Vision Care, LLC Optometrist CurrentSince Dec 1, 2018 Accepting new patients

Locations

369 Revolution Dr
Somerville, MA 02145
Phone (617) 331-3916

550 Arsenal St
Watertown, MA 02472
Phone (617) 744-3150

2075 S Willow St
Manchester, NH 03103
Phone (603) 424-0404

2075 S Willow St
Ste 2
Manchester, NH 03103

603 Nashua St
Ste 3
Milford, NH 03055
Phone (603) 672-0338

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1526860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722384000000",
    "number": "1447741962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 ARSENAL ST",
            "city": "WATERTOWN",
            "state": "MA",
            "postal_code": "024722853",
            "telephone_number": "617-934-9314",
            "fax_number": "857-400-0712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 ARSENAL ST",
            "city": "WATERTOWN",
            "state": "MA",
            "postal_code": "024722853",
            "telephone_number": "617-934-9314",
            "fax_number": "857-400-0712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARD",
        "first_name": "HANNAH",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-21",
        "last_updated": "2024-07-31",
        "certification_date": "2024-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "5302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Watertown, MA

Sources for this page

Verify at the official NPI Registry.