Organization Active NPI

Darryl Grace & Associates PC

  • Optometrist
  • Boston, MA
National Provider Identifier
1891166963
Registry record updated Oct 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4558 Issued in MA
Legal business name
DARRYL GRACE & ASSOCIATES PC
Practice address
681 Tremont St
Boston, MA 02118-1281
Phone
(617) 391-0088
Fax
(617) 391-0068
NPI assigned
Oct 14, 2015
Last updated
Oct 13, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2022

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

Authorized official

Name
Dr. Darryl Grace, ODNPI 1881789576
Title
President
Phone
(617) 391-0088

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4558 MA Primary

Addresses

Primary practice location

681 Tremont St
Boston, MA 02118-1281

Mailing address

2379 Centre St
West Roxbury, MA 02132-5103

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170517001796 MA Part B Supplier - Clinic/Group Practice 2769759026 Receives reassigned benefits from 1 practitioner
Practice locations: Boston, MA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1444780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665619200000",
    "number": "1891166963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2379 CENTRE ST",
            "city": "WEST ROXBURY",
            "state": "MA",
            "postal_code": "021325103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "681 TREMONT ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021181281",
            "telephone_number": "617-391-0088",
            "fax_number": "617-391-0068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DARRYL GRACE & ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-14",
        "last_updated": "2022-10-13",
        "certification_date": "2022-10-13",
        "status": "A",
        "authorized_official_last_name": "GRACE",
        "authorized_official_first_name": "DARRYL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "617-391-0088",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "4558",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Oct 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.