Envision Optometry, PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

4792 Issued in MA

Legal business name

ENVISION OPTOMETRY, PC

Practice address

126 High Street
Boston, MA 02110

Phone

(617) 367-8537

Fax

(617) 426-1503

NPI assigned

Dec 8, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Tricia D. Rose, O.D.

Title

Owner

Phone

(315) 345-3509

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Tax ID family

Envision Optometry2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Envision Optometry PC

  • Optometrist
  • Boston, MA
  • NPI 1386032092
  NPD tax ID

Locations

Practitioners 2

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

• Jaclyn E. Garlich, OD

  • Optometrist
  • Boston, MA
  • NPI 1154638591
  Medicare reassignment Care Compare group
• Dianna Lister, O.D.

  • Optometrist
  • Boston, MA
  • NPI 1407010887
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1291766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291766400000",
    "number": "1740583152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 HIGH STREET",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02110",
            "telephone_number": "617-367-8537",
            "fax_number": "617-426-1503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 HIGH STREET",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02110",
            "telephone_number": "617-367-8537",
            "fax_number": "617-426-1503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENVISION OPTOMETRY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-08",
        "last_updated": "2010-12-08",
        "status": "A",
        "authorized_official_last_name": "ROSE",
        "authorized_official_first_name": "TRICIA",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "315-345-3509",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MA",
            "license": "4792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Entyre Care Massachusetts Inc.
• Entyre Care Oklahoma LLC
• Samuel Joseph Enumah
• Envision Elite Wellness
• Envision Optometry PC
• Andrea Catherine Enzinger, M.D.
• Peter C Enzinger, DR
• Elizabeth Eom
• Eos Health LLC
• Yan Epelboym, M.D.,M.P.H.

• Optometrist in Boston, MA
• Providers in Boston, MA by specialty
• Optometrist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.