Individual provider Active NPI

Amrit K Jawanda

  • Optometrist
  • Boston, MA
National Provider Identifier
1508328774
Registry record updated May 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Practice address
900 Commonwealth Ave
Boston, MA 02215-1200
Phone
(617) 262-2020
NPI assigned
Apr 4, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OR Primary

Addresses

Primary practice location

900 Commonwealth Ave
Boston, MA 02215-1200

Mailing address

930 Commonwealth Ave Ste 1
Boston, MA 02215-1274
Phone (617) 262-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, WA2 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
I20191115000112 MA Practitioner - Optometry 9436581360 Reassigns benefits to 1 organization
I20230929003086 WA Practitioner - Optometry 9436581360 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Olympia Vision Clinic and Contact Lens Center, PLLCGroup PAC ID 8820080237, 10 clinicians
Bridgeport Family Vision Clinic PLLCGroup PAC ID 6901113596, 3 clinicians

Practice addresses (Care Compare)

1625 Cooper Point Rd SW
Olympia, WA 98502-5735
Phone (360) 357-6683

9101 Bridgeport Way SW
Suite C
Lakewood, WA 98499-2419
Phone (253) 584-2020

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5344MAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Bridgeport Family Vision Clinic, PLLC Optometrist CurrentSince Jan 1, 2025 Accepting new patients
New England Eye Institute Inc. Optometrist CurrentSince Sep 22, 2019 Accepting new patients
Dr Jeffrey J Yocum Optometrist CurrentSince Jul 25, 2021 Accepting new patients
Olympia Vision Clinic and Contact Lens Center, PLLC Optometrist CurrentSince Sep 5, 2023 Accepting new patients
David Thomas Williams Optometrist PastSince Jan 1, 2025 Accepting new patients

Locations

637 Ferry St
Lafayette, IN 47901
Phone (765) 742-2930

930 Commonwealth Ave
Ste 1
Boston, MA 02215

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

10217 19th Ave SE
Ste 102
Everett, WA 98208
Phone (425) 316-9400

5321 Corporate Center Loop SE
Lacey, WA 98503
Phone (360) 459-2108

1625 Cooper Point Rd SW
Olympia, WA 98502
Phone (360) 357-6683

9101 Bridgeport Way SW
Ste C
Tacoma, WA 98499
Phone (253) 584-2020

Organizations & group practices 5

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": "1554336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778457600000",
    "number": "1508328774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 COMMONWEALTH AVE STE 1",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022151274",
            "telephone_number": "617-262-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 COMMONWEALTH AVE",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022151200",
            "telephone_number": "617-262-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAWANDA",
        "first_name": "AMRIT",
        "middle_name": "K",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-04",
        "last_updated": "2026-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.