Active NPI
Grace E Anosike, OD
- Optometrist
- Cambridge, MA
National Provider Identifier
1790720233
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 3941
- Practice address
- 79 Winter St
Cambridge, MA 02141-1231 - Phone
- (617) 905-8943
- NPI assigned
- Jun 18, 2006
- 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 | 3941 | MA | Primary |
Addresses
Primary practice location
79 Winter St
Cambridge, MA 02141-1231
Mailing address
79 Winter St
Cambridge, MA 02141-1231
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0369802 | Medicaid | MA |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 3941 | MA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150588800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1790720233",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "79 WINTER ST",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "021411231"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "79 WINTER ST",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "021411231",
"telephone_number": "617-905-8943"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANOSIKE",
"first_name": "GRACE",
"middle_name": "E",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-18",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MA",
"license": "3941",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0369802",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cambridge, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.