Active NPI
Fotini Kostogiannis, OD
- Optometrist
- Brookline, MA
National Provider Identifier
1689855892
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 4620
- Practice address
- 1623 Beacon St
Mass Optometric Associates, P.C.
Brookline, MA 02445-4531 - Phone
- (617) 739-2707
- Fax
- (617) 730-4418
- NPI assigned
- Nov 15, 2007
- 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 | 4620 | MA | Primary |
Addresses
Primary practice location
1623 Beacon St
Mass Optometric Associates, P.C.
Brookline, MA 02445-4531
Mailing address
2921 Erie Blvd E
Mass Optometric Associates, P.C.
Syracuse, NY 13224-1430
Phone (315) 446-3145
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- New England College of Optometry, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
700 Boston Rd
Billerica, MA 01821-5316
Phone (978) 667-0481
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4620 | MA | MD | Physical Therapist |
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.
-
- Optometrist
- Malden, MA
- NPI 1063610194
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1195084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1195084800000",
"number": "1689855892",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2921 ERIE BLVD E",
"address_2": "MASS OPTOMETRIC ASSOCIATES, P.C.",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132241430",
"telephone_number": "315-446-3145",
"fax_number": "315-445-7675"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1623 BEACON ST",
"address_2": "MASS OPTOMETRIC ASSOCIATES, P.C.",
"city": "BROOKLINE",
"state": "MA",
"postal_code": "024454531",
"telephone_number": "617-739-2707",
"fax_number": "617-730-4418"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOSTOGIANNIS",
"first_name": "FOTINI",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-11-15",
"last_updated": "2007-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MA",
"license": "4620",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brookline, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.