Active NPI
Marjorie Rah, OD
- Optometrist
- Boston, MA
National Provider Identifier
1639178569
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 4237
- Practice address
- 930 Commonwealth Ave
Suite 2a New England Eye Institute
Boston, MA 02215 - Phone
- (617) 262-2020
- Fax
- (617) 236-6323
- NPI assigned
- Jul 21, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 4237 | MA | Primary |
Addresses
Primary practice location
930 Commonwealth Ave
Suite 2a New England Eye Institute
Boston, MA 02215
Mailing address
930 Commonwealth Ave
Suite 2a New England Eye Institute
Boston, MA 02215
Phone (617) 262-2020
Other identifiers 16
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2048274 | Other | FIRST HEALTH | |
| 5426454 | Other | FH CCN | |
| 73083 | Other | CMSP | |
| 977297 | Other | NETWORK HEALTH GRP 40403 | |
| 0336441 | Other | MASS HEALTH GROUP 9721100 | |
| 0336441 | Medicaid | MA | |
| W17386 | Other | MEDICARE W21056 | |
| W16348 | Other | BCBS W20072 OD NO BLUE 65 | |
| 1404530 | Other | UNITED HEALTH CARE | |
| 153341 | Other | HARVARD PILGRIM | |
| 3164443 | Other | AETNA | |
| 791541 | Medicaid | MA | |
| MA4231 | Other | EYEMED | |
| 30556 | Other | BMC HEALTHNET ADD 7 0S | |
| 32051 | Other | NHP 0026263 | |
| 625167 | Other | CIGNA GROUP 62516 |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4237 | MA | MD | Optometrist |
| 4231 | MA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1218067200000",
"number": "1639178569",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "930 COMMONWEALTH AVE",
"address_2": "SUITE 2A NEW ENGLAND EYE INSTITUTE",
"city": "BOSTON",
"state": "MA",
"postal_code": "02215",
"telephone_number": "617-262-2020",
"fax_number": "617-236-6323"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "930 COMMONWEALTH AVE",
"address_2": "SUITE 2A NEW ENGLAND EYE INSTITUTE",
"city": "BOSTON",
"state": "MA",
"postal_code": "02215",
"telephone_number": "617-262-2020",
"fax_number": "617-236-6323"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAH",
"first_name": "MARJORIE",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-21",
"last_updated": "2008-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MA",
"license": "4237",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH",
"identifier": "2048274",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FH CCN",
"identifier": "5426454",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CMSP",
"identifier": "73083",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NETWORK HEALTH GRP 40403",
"identifier": "977297",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MASS HEALTH GROUP 9721100",
"identifier": "0336441",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0336441",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE W21056",
"identifier": "W17386",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS W20072 OD NO BLUE 65",
"identifier": "W16348",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE",
"identifier": "1404530",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM",
"identifier": "153341",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "3164443",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "791541",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EYEMED",
"identifier": "MA4231",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BMC HEALTHNET ADD 7 0S",
"identifier": "30556",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NHP 0026263",
"identifier": "32051",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA GROUP 62516",
"identifier": "625167",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.