Organization Active NPI

New England Eye Institute Inc.

  • Optometrist
  • Boston, MA
National Provider Identifier
1487607388
Registry record updated Dec 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
NEW ENGLAND EYE INSTITUTE INC.
Practice address
930 Commonwealth Ave
Boston, MA 02215
Phone
(617) 262-2020
Fax
(617) 236-6323
NPI assigned
May 19, 2006
Organization subpart
Yes
Parent organization
NEW ENGLAND COLLEGE OF OPTOMETRYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 2, 2021

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

Authorized official

Name
Dr. Timothy Bossie, ODNPI 1043575624
Title
Director
Phone
(617) 262-2020

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

930 Commonwealth Ave
Boston, MA 02215

Mailing address

930 Commonwealth Ave
Boston, MA 02215
Phone (617) 262-2020

Other identifiers 1

IdentifierTypeStateIssuer
110068444AMedicaidMA

Other names 1

  • NECO Center for Eye Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040202000795 MA Part B Supplier - Clinic/Group Practice 1850294125 Receives reassigned benefits from 62 practitioners
Practice locations: Boston, MA; Worcester, MA; Watertown, MA; Roslindale, MA; Newton, MA; Hyde Park, MA; Framingham, MA; East Bridgewater, MA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
22D2056492New England Eye Institute930 Commonwealth Ave, Boston, MA 02215Certificate of waiverMar 27, 2027

National Provider Directory

National Provider Directory

Locations

930 Commonwealth Ave
#A
Boston, MA 02215

940 Commonwealth Ave
Ste 2A
Boston, MA 02215
Phone (617) 417-2160

1255 Boylston St
Boston, MA 02215
Phone (617) 236-6330

720 Harrison Ave
#10
Boston, MA 02118
Phone (617) 638-8350

930 Commonwealth Ave
Ste 2
Boston, MA 02215
Phone (617) 262-2020

940 Commonwealth Ave
Ste 2
Boston, MA 02215
Phone (617) 587-5511

22 Christy Dr
Ste 1
Brockton, MA 02301
Phone (508) 588-3060

450 Pleasant St
East Bridgewater, MA 02333
Phone (617) 236-2020

31 Flagg Dr
Framingham, MA 01702
Phone (508) 620-4956

1415 Hyde Park Ave
Hyde Park, MA 02136

4199 Washington St
Ste A
Roslindale, MA 02131

4199 Washington St
Ste 2A
Roslindale, MA 02131

Practitioners & affiliated clinicians

Practitioners 82

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 82

NPI Registry JSON

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638403200000",
    "number": "1487607388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 COMMONWEALTH AVE",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02215",
            "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": "930 COMMONWEALTH AVE",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02215",
            "telephone_number": "617-262-2020",
            "fax_number": "617-236-6323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW ENGLAND EYE INSTITUTE INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NEW ENGLAND COLLEGE OF OPTOMETRY",
        "enumeration_date": "2006-05-19",
        "last_updated": "2021-12-02",
        "certification_date": "2021-12-02",
        "status": "A",
        "authorized_official_last_name": "BOSSIE",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "617-262-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110068444A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NECO Center for Eye Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "NECO Center for Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Boston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.