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

Last updated

Feb 18, 2022By 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. 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, and the practitioner matching its NPPES authorized official.

• 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
• Boston Interventional Orthopedics LLC
• Boston Kaigo Helpers LLC
• Boston Pelvic Health and Wellness PC
• Boston Private Nursing LLC
• Boston Sos
• Boston Sports & Biologics PC (Boston Sports & Biologics)
• 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.