Active NPI
Richard A Dornfeld, M.D.
- Ophthalmology Physician
- Waltham, MA
National Provider Identifier
1457441404
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 56922
- Practice address
- 20 Hope Ave
Suite 106
Waltham, MA 02453-2721 - Phone
- (781) 893-3333
- Fax
- (781) 890-2020
- NPI assigned
- Oct 13, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 56922 | MA | Primary |
Addresses
Primary practice location
20 Hope Ave
Suite 106
Waltham, MA 02453-2721
Mailing address
20 Hope Ave
Suite 106
Waltham, MA 02453-2721
Phone (781) 893-3333
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3013111 | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050329000708 | MA | Practitioner - Ophthalmology | 5890741268 | Practice locations: Waltham, MA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 56922 | MA | MD | Ophthalmology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210118400000",
"number": "1457441404",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 HOPE AVE",
"address_2": "SUITE 106",
"city": "WALTHAM",
"state": "MA",
"postal_code": "024532721",
"telephone_number": "781-893-3333",
"fax_number": "781-890-2020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 HOPE AVE",
"address_2": "SUITE 106",
"city": "WALTHAM",
"state": "MA",
"postal_code": "024532721",
"telephone_number": "781-893-3333",
"fax_number": "781-890-2020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DORNFELD",
"first_name": "RICHARD",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-13",
"last_updated": "2008-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "MA",
"license": "56922",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3013111",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Waltham, MA
- Kristen Donlevie, OTD, OTR/L
- Sally Donnelly, MS
- Bridget Kathleen Donovan, FNP-BC
- Margaret Christina Donovan
- Doreen Karoll, MD (Boston Developmental Pediatrics LLC)
- Matthew Dorsey, PT, DPT
- Julee Marie Douglass, LADCII
- Dove Hospice of Massachusetts LLC
- Renee N Downes-Gilkes, CCC-SLP CEIS
- Amanda Downey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2008; 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.