Individual provider Active NPI

Taylor Ann Meltzer, OD

  • Optometrist
  • West Roxbury, MA
National Provider Identifier
1740702059
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5233 Issued in MA
Practice address
2020 Centre St Ste 1
West Roxbury, MA 02132-3316
Phone
(617) 524-7055
NPI assigned
Jul 10, 2017
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 5233 MA Primary

Addresses

Primary practice location

2020 Centre St Ste 1
West Roxbury, MA 02132-3316

Mailing address

1940 Commonwealth Ave Apt 45
Brighton, MA 02135-5806

Other practice location 1

825 Washington St Ste 230
Norwood, MA 02062-3488
Phone (781) 769-8880

Other identifiers 1

IdentifierTypeStateIssuer
S38893331OtherMADRIVER'S LICENSE

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

LicenseStateTypeSpecialty
5233MAMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Zachary Jost OD Inc PC Optometrist CurrentSince Aug 22, 2022 Accepting new patients
Zachary Jost II, PC Optometrist PastSince Jun 9, 2024 Accepting new patients

Locations

31 Saint James Ave
Ste 135
Boston, MA 02116
Phone (617) 426-6277

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1499644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1740702059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1940 COMMONWEALTH AVE APT 45",
            "city": "BRIGHTON",
            "state": "MA",
            "postal_code": "021355806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 CENTRE ST STE 1",
            "city": "WEST ROXBURY",
            "state": "MA",
            "postal_code": "021323316",
            "telephone_number": "617-524-7055"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "825 Washington St Ste 230",
            "address_purpose": "LOCATION",
            "city": "Norwood",
            "state": "MA",
            "postal_code": "020623488",
            "country_code": "US",
            "telephone_number": "781-769-8880",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MELTZER",
        "first_name": "TAYLOR",
        "middle_name": "ANN",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-10",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "5233",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVER'S LICENSE",
            "identifier": "S38893331",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Roxbury, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.