Individual provider Active NPI

Boris Drizik, O.D.

  • Optometrist
  • Marlborough, MA
National Provider Identifier
1841654803
Registry record updated Apr 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5138 Issued in MA
Practice address
601 Donald Lynch Blvd
Marlborough, MA 01752-4730
Phone
(508) 481-8279
NPI assigned
Apr 6, 2016
Last updated
Apr 6, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 6, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 5138 MA Primary

Addresses

Primary practice location

601 Donald Lynch Blvd
Marlborough, MA 01752-4730

Mailing address

601 Donald Lynch Blvd
Marlborough, MA 01752-4730
Phone (508) 481-8279

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20161206001058 MA Practitioner - Optometry 2769762905 Reassigns benefits to 2 organizations
Practice locations: Natick, MA; Stoneham, MA

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

21 High St
Medford, MA 02155-3807
Phone (781) 393-5700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5138MAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Drizik Eyecare Inc Optometrist CurrentSince Jul 12, 2018 Accepting new patients
Jewell Eye Inc Optometrist CurrentSince Oct 4, 2016 Accepting new patients
Drizik Eyecare Optometrist CurrentSince Jan 1, 2018 Accepting new patients

Locations

601 Donald Lynch Blvd
Ste 151
Marlborough, MA 01752
Phone (508) 481-8279

601 Donald Lynch Blvd
Marlborough, MA 01752
Phone (508) 481-7993

21 High St
Medford, MA 02155
Phone (781) 391-8222

2 Summer St
Natick, MA 01760
Phone (508) 651-1094

85 Cedar St
Stoneham, MA 02180
Phone (781) 279-1499

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": "1459900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459900800000",
    "number": "1841654803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 DONALD LYNCH BLVD",
            "city": "MARLBOROUGH",
            "state": "MA",
            "postal_code": "017524730",
            "telephone_number": "508-481-8279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 DONALD LYNCH BLVD",
            "city": "MARLBOROUGH",
            "state": "MA",
            "postal_code": "017524730",
            "telephone_number": "508-481-8279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRIZIK",
        "first_name": "BORIS",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-04-06",
        "last_updated": "2016-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "5138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marlborough, MA

Sources for this page

Verify at the official NPI Registry.