Individual provider Active NPI

Emily Leach, OD

  • Optometrist
  • Boston, MA
National Provider Identifier
1942933247
Registry record updated Jun 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5548 Issued in MA
Practice address
930 Commonwealth Ave
Boston, MA 02215-1274
Phone
(617) 262-2020
NPI assigned
Jul 5, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 5548 MA Primary

Addresses

Primary practice location

930 Commonwealth Ave
Boston, MA 02215-1274

Mailing address

37 Elm St
Melrose, MA 02176-2323
Phone (857) 206-2929

Other names 1

  • Emily Janse Van Rensburg Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, ME2 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
I20221027002547 MA Practitioner - Optometry 4587031919 Reassigns benefits to 2 organizations
I20260102001294 ME Practitioner - Optometry 4587031919 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2022
Medicare assignment
May accept Medicare assignment
Group practices
Maine Optometry PAGroup PAC ID 8022009117, 23 clinicians
Forefront Eyecare PLLCGroup PAC ID 8123319043, 6 clinicians

Practice addresses (Care Compare)

242 Bath Rd
Brunswick, ME 04011-2646
Phone (207) 729-8474

99 Bedford St
Lbby 102
Boston, MA 02111-2210
Phone (617) 426-0370

Merit-based Incentive Payment System (MIPS)

Final score
79.5 of 100Reported as group
Quality
58.99
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Maine Optometry PA Optometrist CurrentSince Dec 1, 2025 Accepting new patients
Forefront Eyecare PLLC Optometrist CurrentSince Aug 22, 2024 Accepting new patients
New England Eye Institute Inc. Optometrist CurrentSince Sep 1, 2022 Accepting new patients
All Eye Care at Davis, Inc Optometrist PastSince Jul 1, 2022 Accepting new patients
Roger L. Bergeron, O.D.P.a. Past Accepting new patients
Arthur Chapman III OD PA Optometrist Past Accepting new patients

Locations

99 Bedford St
Lbby 102
Boston, MA 02111
Phone (617) 426-0370

930 Commonwealth Ave
Boston, MA 02215
Phone (617) 262-2020

242 Bath Rd
Brunswick, ME 04011
Phone (207) 389-3525

407 US Route 1
Freeport, ME 04032
Phone (207) 865-2023

14 Vista Dr
Ste 200
Gorham, ME 04038

347 Main St
Ste D
Gorham, ME 04038
Phone (207) 839-2638

585 Main St
Lewiston, ME 04240
Phone (207) 784-0153

240 Main St
Saco, ME 04072

656 Roosevelt Trl
Windham, ME 04062
Phone (207) 389-3525

Organizations & group practices 6

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": "1656979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718064000000",
    "number": "1942933247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 ELM ST",
            "city": "MELROSE",
            "state": "MA",
            "postal_code": "021762323",
            "telephone_number": "857-206-2929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 COMMONWEALTH AVE",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022151274",
            "telephone_number": "617-262-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEACH",
        "first_name": "EMILY",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-05",
        "last_updated": "2024-06-11",
        "certification_date": "2024-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "5548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMILY",
            "last_name": "JANSE VAN RENSBURG",
            "credential": "OD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.