Katelyn Song Eye Care LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

5121 Issued in MA

Legal business name

KATELYN SONG EYE CARE LLC

Practice address

753 Centre St
Jamaica Plain, MA 02130-2520

Phone

(617) 522-3443

NPI assigned

Apr 2, 2018

Last updated

Apr 2, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Xueling SongNPI 1437535895

Title

Optometrist

Phone

(908) 279-4483

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Xueling Song, D.O

  • Optometrist
  • Boston, MA
  • NPI 1437535895
  Medicare reassignment NPD Authorized official
• Terry L Chin, O.D.

  • Optometrist
  • Boston, MA
  • NPI 1497752539
  NPD (past)

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

{
    "created_epoch": "1522627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522627200000",
    "number": "1508362419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1175 CHESTNUT ST APT 18",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024641341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "753 CENTRE ST",
            "city": "JAMAICA PLAIN",
            "state": "MA",
            "postal_code": "021302520",
            "telephone_number": "617-522-3443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATELYN SONG EYE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-02",
        "last_updated": "2018-04-02",
        "status": "A",
        "authorized_official_last_name": "SONG",
        "authorized_official_first_name": "XUELING",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "908-279-4483",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "5121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eris Karanxha, PHARMD
• Carol Deardre Karman, M.ED.,L.M.H.C.
• Judith A Karpinski, LICSW
• Leah Karsberg
• Barsam Kasravi, MD
• Steven Kaufman, PH.D.
• Jennifer Lee Kay, LCSW
• Mark Kearns, LICSW
• Susan Hart Keays, MSW
• Katherine Ellen Keefe, PA-C

• Optometrist in Jamaica Plain, MA
• Providers in Jamaica Plain, MA by specialty
• Optometrist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.