Individual provider Active NPI

Jeffrey P Norden, O.D.

  • Optometrist
  • Boston, MA
National Provider Identifier
1619035144
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4075 Issued in MA
Practice address
699 Boylston St
Boston, MA 02116-2848
Phone
(617) 437-9995
NPI assigned
Dec 5, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4075 MA Primary

Addresses

Primary practice location

699 Boylston St
Boston, MA 02116-2848

Mailing address

636 Beacon St
#603
Boston, MA 02215-2004
Phone (617) 536-9891

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20160602001707 MA Practitioner - Optometry 6709176753 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Exeter Eye Associates LLCGroup PAC ID 2860782919, 2 clinicians

Practice addresses (Care Compare)

37 Newbury St
Boston, MA 02116-3100
Phone (617) 437-9995

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4075MAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Exeter Eye Associates, LLC Optometrist CurrentSince Feb 22, 2016 Accepting new patients

Locations

37 Newbury St
Boston, MA 02116
Phone (617) 437-1070

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619035144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "636 BEACON ST",
            "address_2": "#603",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022152004",
            "telephone_number": "617-536-9891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "699 BOYLSTON ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021162848",
            "telephone_number": "617-437-9995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORDEN",
        "first_name": "JEFFREY",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "4075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.