Boston Retina, PLLC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

39203 Issued in MA

Legal business name

BOSTON RETINA, PLLC

Practice address

422 Worcester St
Wellesley, MA 02481-5341

Phone

(781) 772-1791

Fax

(781) 489-5315

NPI assigned

Jan 23, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Sheldon M Buzney, M.D.NPI 1902809593

Title

Owner

Phone

(781) 772-1791

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.

• Sheldon Marc Buzney, MD

  • Ophthalmology Physician
  • Wellesley, MA
  • NPI 1902809593
  Medicare reassignment NPD Authorized official
• Sarah M Acevedo-Roman, MD

  • Ophthalmology Physician
  • Guaynabo, PR
  • NPI 1417990441
  NPD (past)

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

{
    "created_epoch": "1358899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645142400000",
    "number": "1568700706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "422 WORCESTER ST",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024815341",
            "telephone_number": "781-772-1791",
            "fax_number": "781-489-5315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "422 WORCESTER ST",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024815341",
            "telephone_number": "781-772-1791",
            "fax_number": "781-489-5315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOSTON RETINA, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-23",
        "last_updated": "2022-02-18",
        "certification_date": "2022-02-18",
        "status": "A",
        "authorized_official_last_name": "BUZNEY",
        "authorized_official_first_name": "SHELDON",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "781-772-1791",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "MA",
            "license": "39203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Boston Hernia & Pilonidal Center PLLC
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• Boston Private Nursing LLC
• Boston Sos
• Boston Sports & Biologics PC
• Boston Sports & Spine LLC
• Boston Urogyn
• Boston Urogyn

• Ophthalmology Physician in Wellesley, MA
• Providers in Wellesley, MA by specialty
• Ophthalmology Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2022; 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.