Individual provider Active NPI

Dmitriy Richter, OD

  • Optometrist
  • Boston, MA
National Provider Identifier
1831740067
Registry record updated Jun 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618002823 Issued in VA
Practice address
121 High St
Boston, MA 02110-2416
Phone
(617) 338-7200
NPI assigned
Sep 29, 2019
Last updated
Jun 28, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0618002823 VA Primary

Addresses

Primary practice location

121 High St
Boston, MA 02110-2416

Mailing address

121 High St
Boston, MA 02110-2416
Phone (617) 338-7200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, MA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20191118002768 VA Practitioner - Optometry 4789016791 Reassigns benefits to 1 organization
I20220623000896 MA Practitioner - Optometry 4789016791 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lunette Boston, PC Optometrist CurrentSince May 30, 2022 Accepting new patients
May & Hettler, O.D., PLLC Optometrist CurrentSince Oct 14, 2019 Accepting new patients

Locations

121 High St
Boston, MA 02110
Phone (617) 338-7200

230 Congress St
Lbby
Boston, MA 02110
Phone (617) 338-7200

230 Congress St
Lbby 1
Boston, MA 02110

6098 Franconia Rd
Alexandria, VA 22310
Phone (703) 971-0544

2253C Old Bridge Rd
Woodbridge, VA 22192
Phone (703) 494-8900

Organizations & group practices 3

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": "1569715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656374400000",
    "number": "1831740067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 HIGH ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021102416",
            "telephone_number": "617-338-7200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 HIGH ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021102416",
            "telephone_number": "617-338-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHTER",
        "first_name": "DMITRIY",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-09-29",
        "last_updated": "2022-06-28",
        "certification_date": "2022-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618002823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.