Individual provider Active NPI

Rosanna C Lamalva, OD

  • Optometrist
  • Boston, MA
National Provider Identifier
1679639793
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
MA4181 Issued in MA
Practice address
10 City Hall Ave
Boston, MA 02108-4301
Phone
(617) 523-3639
Fax
(617) 523-0393
NPI assigned
Jan 1, 2007
Sex
Female
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 MA4181 MA Primary

Addresses

Primary practice location

10 City Hall Ave
Boston, MA 02108-4301

Mailing address

56 Sears Rd
Southborough, MA 01772-1102
Phone (617) 962-3007

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
I20111221000713 MA Practitioner - Optometry 8325214331 Receives reassigned benefits from 2 practitioners
Practice locations: Boston, MA

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10 City Hall Ave
Boston, MA 02108-4301
Phone (617) 523-3639

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MA4181MAMDOptometrist

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1167609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679639793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 SEARS RD",
            "city": "SOUTHBOROUGH",
            "state": "MA",
            "postal_code": "017721102",
            "telephone_number": "617-962-3007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 CITY HALL AVE",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021084301",
            "telephone_number": "617-523-3639",
            "fax_number": "617-523-0393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAMALVA",
        "first_name": "ROSANNA",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "MA4181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.