Individual provider Active NPI

Alexander Martin, OD

  • Optometrist
  • Brookline, MA
National Provider Identifier
1851816201
Registry record updated Jul 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5272 Issued in MA
Practice address
24 Webster PL
Brookline, MA 02445-7937
Phone
(617) 202-2020
Fax
(617) 734-3264
NPI assigned
Aug 7, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0979 NH
Optometrist 152W00000X 5272 MA Primary

Addresses

Primary practice location

24 Webster PL
Brookline, MA 02445-7937

Mailing address

24 Webster PL
Brookline, MA 02445-7937
Phone (617) 202-2020

Other identifiers 1

IdentifierTypeStateIssuer
5272OtherMATPA OPTOMETRIST

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
I20180531002038 MA Practitioner - Optometry 8123384211 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Boston Laser Eye Institute PCGroup PAC ID 9739123381, 23 clinicians

Practice addresses (Care Compare)

25 Marston St
Suite 104
Lawrence, MA 01841-2356
Phone (617) 202-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9330TXMDProfessional Counselor
0979NHMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ocular Pro Services LLC Optometrist Current Accepting new patients
Boston Laser Eye Institute, PC CurrentSince May 1, 2020 Accepting new patients
Nelson Vision PA Optometrist PastSince Sep 15, 2017 Accepting new patients

Locations

159 River Rd
Ste 4
Andover, MA 01810

24 Webster Pl
Brookline, MA 02445

1101 Beacon St
Ste 6W
Brookline, MA 02446
Phone (617) 566-0062

172 Cambridge St
Ste 103
Burlington, MA 01803

25 Marston St
Ste 104
Lawrence, MA 01841
Phone (978) 685-5366

101 Main St
Ste 208
Medford, MA 02155
Phone (781) 395-5859

92 High St
Ste T31
Medford, MA 02155
Phone (781) 396-4010

200 Fortune Blvd
Milford, MA 01757

204 Worcester St
Wellesley Hls, MA 02481
Phone (617) 566-0062

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: alexander.martin.p1@direct.bostoneyegroup.nextgenshare.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1502064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753228800000",
    "number": "1851816201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 WEBSTER PL",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024457937",
            "telephone_number": "617-202-2020",
            "fax_number": "617-734-3264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 WEBSTER PL",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024457937",
            "telephone_number": "617-202-2020",
            "fax_number": "617-734-3264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-07",
        "last_updated": "2025-07-23",
        "certification_date": "2025-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NH",
            "license": "0979",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "5272",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TPA OPTOMETRIST",
            "identifier": "5272",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookline, MA

Sources for this page

Verify at the official NPI Registry.