Northeast Optometry LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

NORTHEAST OPTOMETRY LLC

Practice address

60 Massachusetts Ave
Arlington, MA 02474-8621

Phone

(781) 316-0141

Fax

(781) 394-6107

NPI assigned

Jul 10, 2022

Last updated

Nov 12, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Josephine KoNPI 1053934935

Title

President

Phone

(781) 316-0141

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

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.

• Josephine Ko, OD

  • Optometrist
  • Arlington, MA
  • NPI 1053934935
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1657411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731369600000",
    "number": "1922732684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "539 CLINTON RD",
            "city": "CHESTNUT HILL",
            "state": "MA",
            "postal_code": "024671418",
            "fax_number": "617-232-2279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 MASSACHUSETTS AVE",
            "city": "ARLINGTON",
            "state": "MA",
            "postal_code": "024748621",
            "telephone_number": "781-316-0141",
            "fax_number": "781-394-6107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST OPTOMETRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-10",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A",
        "authorized_official_last_name": "KO",
        "authorized_official_first_name": "JOSEPHINE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "781-316-0141"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Arlington, MA
• Providers in Arlington, MA by specialty
• Optometrist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.