Organization Active NPI

Anhthy Prendeville OD LLC

  • Optometrist
  • Wellesley, MA
National Provider Identifier
1922959618
Registry record updated Feb 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
ANHTHY PRENDEVILLE OD LLC
Practice address
200 Linden St Unit K1
Wellesley, MA 02482-7964
Phone
(781) 705-9779
Fax
(781) 705-9886
NPI assigned
Feb 7, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2026

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

Authorized official

Name
Anhthy Prendeville, ODNPI 1306159033
Title
Owner
Phone
(314) 368-9155

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
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

200 Linden St Unit K1
Wellesley, MA 02482-7964

Mailing address

26 Oak Knoll Rd
Carlisle, MA 01741-1231

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260415001889 MA Part B Supplier - Clinic/Group Practice 9234605569 Receives reassigned benefits from 1 practitioner
Practice locations: Wellesley, MA

National Provider Directory

National Provider Directory

Locations

200 Linden St
Unit K1
Wellesley, MA 02482
Phone (781) 705-9779

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1770422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770681600000",
    "number": "1922959618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 OAK KNOLL RD",
            "city": "CARLISLE",
            "state": "MA",
            "postal_code": "017411231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 LINDEN ST UNIT K1",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024827964",
            "telephone_number": "781-705-9779",
            "fax_number": "781-705-9886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANHTHY PRENDEVILLE OD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-07",
        "last_updated": "2026-02-10",
        "certification_date": "2026-02-10",
        "status": "A",
        "authorized_official_last_name": "PRENDEVILLE",
        "authorized_official_first_name": "ANHTHY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-368-9155",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellesley, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2026; 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.