Individual provider Active NPI

Andrew Jon Rabkin, DOCTOR OF OPTOMETRY

  • Optometrist
  • Boston, MA
National Provider Identifier
1649781683
Registry record updated Nov 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5261 Issued in MA
Practice address
175 Cambridge St
Boston, MA 02114-2743
Phone
(617) 523-7006
Fax
(617) 523-5006
NPI assigned
Oct 17, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 5261 MA Primary

Addresses

Primary practice location

175 Cambridge St
Boston, MA 02114-2743

Mailing address

175 Cambridge St
Boston, MA 02114-2743
Phone (617) 523-7006

Other practice location 1

400 Commonwealth Ave
Suite 2
Boston, MA 02215-2813
Phone (617) 426-0370

Other practice location 2

52 2nd Ave Ste 2500
Waltham, MA 02451-1252
Phone (781) 487-2200

Other practice location 3

60 Massachusetts Ave
Arlington, MA 02474-8621
Phone (617) 316-0141

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
I20171106000290 MA Practitioner - Optometry 6103182365 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jeffrey Kublin OD PCGroup PAC ID 9537216361, 5 clinicians

Practice addresses (Care Compare)

175 Cambridge St
Boston, MA 02114-2743
Phone (617) 523-7006

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5261MAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Forefront Eyecare PLLC Optometrist CurrentSince Jul 15, 2019 Accepting new patients
Jeffrey Kublin OD, PC Optometrist CurrentSince Feb 12, 2019 Accepting new patients
Charles Street Eyecare LLC Optometrist CurrentSince Apr 19, 2026 Accepting new patients
Physicians Eye Care, LLC. PastSince Dec 1, 2019 Accepting new patients
Pro Optical Optometrist Past Accepting new patients

Locations

99 Bedford St
Lbby 102
Boston, MA 02111
Phone (617) 426-0370

175 Cambridge St
Boston, MA 02114
Phone (617) 523-7006

400 Commonwealth Ave
Ste 2
Boston, MA 02215
Phone (617) 426-0370

175 Cambridge St
Ste 130
Boston, MA 02114

Organizations & group practices 5

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": "1508198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669593600000",
    "number": "1649781683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 CAMBRIDGE ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021142743",
            "telephone_number": "617-523-7006",
            "fax_number": "617-523-5006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 CAMBRIDGE ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021142743",
            "telephone_number": "617-523-7006",
            "fax_number": "617-523-5006"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 Commonwealth Ave",
            "address_2": "Suite 2",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "022152813",
            "country_code": "US",
            "telephone_number": "617-426-0370",
            "fax_number": "617-426-7924",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "52 2nd Ave Ste 2500",
            "address_purpose": "LOCATION",
            "city": "Waltham",
            "state": "MA",
            "postal_code": "024511252",
            "country_code": "US",
            "telephone_number": "781-487-2200",
            "fax_number": "781-487-5717",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "60 Massachusetts Ave",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "MA",
            "postal_code": "024748621",
            "country_code": "US",
            "telephone_number": "617-316-0141",
            "fax_number": "617-316-0141",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RABKIN",
        "first_name": "ANDREW",
        "middle_name": "JON",
        "name_prefix": "Dr.",
        "credential": "DOCTOR OF OPTOMETRY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-10-17",
        "last_updated": "2022-11-28",
        "certification_date": "2022-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "5261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.