Dana M Roiter, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

4989 Issued in MA

Practice address

195 West St FL 1
Waltham, MA 02451-1111

Phone

(781) 487-2200

Fax

(781) 487-5717

NPI assigned

Jul 31, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dana M Bastarache Former name

Medicare fee-for-service enrollment

Enrolled in MA, FL2 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

Specialty

Optometry

Education

New England College of Optometry, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Ophthalmic Consultants of Boston IncGroup PAC ID 4789651498, 68 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network

Interoperability endpoints

• Direct secure messaging: roiter.dana.ocb@direct.partners.masshiway.net

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.

• Ophthalmic Consultants of Boston, Inc.

  • Ophthalmology Physician
  • Boston, MA
  • NPI 1932146594
  Medicare reassignment Care Compare group
• Friendly Eyes Optometry LLC

  • Clinic/Center
  • Pompano Beach, FL
  • NPI 1811708977
  Medicare reassignment NPD
• Ophthalmic Consultants of Boston, Inc.

  • Ophthalmology Physician
  • West Yarmouth, MA
  • NPI 1437374428
  NPD
• Ophthalmic Consultants of Boston, Inc.

  • Ophthalmology Physician
  • Boston, MA
  • NPI 1730404328
  NPD

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

{
    "created_epoch": "1343692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675900800000",
    "number": "1518213370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 STANIFORD ST",
            "address_2": "SUITE 600",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021142517",
            "telephone_number": "617-314-2689",
            "fax_number": "617-573-1065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 WEST ST FL 1",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024511111",
            "telephone_number": "781-487-2200",
            "fax_number": "781-487-5717"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "50 Staniford St",
            "address_2": "Suite 600",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021142517",
            "country_code": "US",
            "telephone_number": "617-314-2689",
            "fax_number": "617-573-1065",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROITER",
        "first_name": "DANA",
        "middle_name": "M",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-31",
        "last_updated": "2023-02-09",
        "certification_date": "2023-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "4989",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110098060A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANA",
            "last_name": "BASTARACHE",
            "middle_name": "M",
            "credential": "OD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Eileen Jade Rodriguez
• Nina Angelica Rodriguez
• Zady Rodriguez
• Rogers Pharmacy Inc.
• Allyson Rogers, LICSW
• Eric Rollins, BS
• Emily Rachel Romero, MOT, OTR
• Isabel Romero, M. ED.
• Zusex Romero
• Deborah Rooney, LCSW

• Optometrist in Waltham, MA
• Providers in Waltham, MA by specialty
• Optometrist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2023; 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.
• 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.