Active NPI
Richard C Laudon, OD
- Optometrist
- Boston, MA
National Provider Identifier
1831199116
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2527
- Practice address
- 930 Commonwealth Ave
Suite 2a New England Eye Institute
Boston, MA 02215 - Phone
- (617) 262-2020
- Fax
- (617) 236-6323
- NPI assigned
- Jul 28, 2005
- Sex
- Male
- 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 | 2527 | MA | Primary |
Addresses
Primary practice location
930 Commonwealth Ave
Suite 2a New England Eye Institute
Boston, MA 02215
Mailing address
930 Commonwealth Ave
Suite 2a New England Eye Institute
Boston, MA 02215
Phone (617) 262-2020
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 334987 | 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 |
|---|---|---|---|
| 2527 | MA | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1271289600000",
"number": "1831199116",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "930 COMMONWEALTH AVE",
"address_2": "SUITE 2A NEW ENGLAND EYE INSTITUTE",
"city": "BOSTON",
"state": "MA",
"postal_code": "02215",
"telephone_number": "617-262-2020",
"fax_number": "617-236-6323"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "930 COMMONWEALTH AVE",
"address_2": "SUITE 2A NEW ENGLAND EYE INSTITUTE",
"city": "BOSTON",
"state": "MA",
"postal_code": "02215",
"telephone_number": "617-262-2020",
"fax_number": "617-236-6323"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAUDON",
"first_name": "RICHARD",
"middle_name": "C",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-28",
"last_updated": "2010-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MA",
"license": "2527",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "334987",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.