Komal Thakore, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

4588 Issued in MA

Practice address

1353 Dorchester Ave
Dorchester, MA 02122-2932

Phone

(617) 288-3230

Fax

(617) 288-4328

NPI assigned

Feb 26, 2007

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

Medicare fee-for-service enrollment

Enrolled in MA

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 1

Specialty

Optometry

Education

New England College of Optometry, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Porter Square Eye Associates IncGroup PAC ID 3678605318, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Porter Square Eye Associates Inc

  • Optometrist
  • Cambridge, MA
  • NPI 1356660393
  Medicare reassignment Care Compare group NPD
• Pratt Ophthalmology Associates Inc

  • Ophthalmology Physician
  • Boston, MA
  • NPI 1083660534
  Medicare reassignment NPD
• Tufts Medical Center, Inc.

  • General Acute Care Hospital
  • Boston, MA
  • NPI 1730132515
  Medicare reassignment NPD
• Pratt Ophthalmology Associates, Inc

  • Optician
  • Brighton, MA
  • NPI 1063531648
  NPD
• Tufts Medical Center, Inc.

  • Psychiatric Hospital Unit
  • Boston, MA
  • NPI 1053350306
  NPD

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1568598548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 CAMBRIDGEPARK DR",
            "address_2": "#3109",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021402340",
            "telephone_number": "617-864-7570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1353 DORCHESTER AVE",
            "city": "DORCHESTER",
            "state": "MA",
            "postal_code": "021222932",
            "telephone_number": "617-288-3230",
            "fax_number": "617-288-4328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THAKORE",
        "first_name": "KOMAL",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-26",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "4588",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MA OPTOMETRIST LICENSE",
            "identifier": "4588",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Francina Tejeda
• Tender Care Adult Center
• Francesca Tesone, D.M.D.
• Kristopher Teti, M.D.
• An Ngoc Thai, MD.
• Thanksliving Group LLC
• The Bostonian SNF LLC
• The Knit Healthcare Services LLC
• The Stop & Shop Supermarket Company LLC
• Mireille Therenciel

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.