Individual provider Active NPI

Alexa Caruso, OD

  • Optometrist
  • Boston, MA
National Provider Identifier
1881218634
Registry record updated Oct 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
011255 Issued in NY
Practice address
33 Broad St
Boston, MA 02109-4216
Phone
(617) 742-7200
Fax
(617) 742-7272
NPI assigned
Jun 7, 2020
Last updated
Oct 2, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 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 011255 NY Primary
Optometrist 152W00000X 5422 MA

Addresses

Primary practice location

33 Broad St
Boston, MA 02109-4216

Mailing address

1950 Old Gallows Rd Ste 520
Vienna, VA 22182-3970
Phone (703) 847-8899

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, NY2 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
I20201009000716 MA Practitioner - Optometry 1052731205 Reassigns benefits to 1 organization
I20250930002623 NY Practitioner - Optometry 1052731205 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Donna Goukler OD PCGroup PAC ID 2769822477, 9 clinicians

Practice addresses (Care Compare)

266 Delaware Ave
Delmar, NY 12054-1134
Phone (518) 439-6309

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of Massachusetts P C Optometrist Current Accepting new patients
Myeyedr Optometry of Massachusetts P C Optometrist CurrentSince Aug 31, 2020 Accepting new patients
Donna Goukler, O.D., P.C. Optometrist CurrentSince Oct 6, 2025 Accepting new patients
Myeyedr Optometry of Massachusetts P C Optometrist CurrentSince Aug 31, 2020 Accepting new patients
Dinapoli and Dinapoli, Inc. Optometrist PastSince Oct 6, 2025 Accepting new patients

Locations

22 University Dr
Amherst, MA 01002
Phone (413) 549-9400

33 Broad St
Boston, MA 02109
Phone (617) 742-7200

1191 Chestnut St
Newton Upper Falls, MA 02464
Phone (617) 243-3937

266 Delaware Ave
Delmar, NY 12054
Phone (518) 439-3551

1600 Stewart Ave
Ste 108
Westbury, NY 11590
Phone (516) 294-8232

1950 Old Gallows Rd
Ste 520
Vienna, VA 22182

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

Organizations & group practices 5

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": "1591488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759363200000",
    "number": "1881218634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 OLD GALLOWS RD STE 520",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823970",
            "telephone_number": "703-847-8899",
            "fax_number": "571-223-6780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 BROAD ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021094216",
            "telephone_number": "617-742-7200",
            "fax_number": "617-742-7272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARUSO",
        "first_name": "ALEXA",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-07",
        "last_updated": "2025-10-02",
        "certification_date": "2025-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "011255",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "5422",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.