Active NPI
Emily Leach, OD
- Optometrist
- Boston, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 5548
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA, ME
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- New England College of Optometry, 2022
- Medicare assignment
- May accept Medicare assignment
- Group practices
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 100
- Quality
- 58.99
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maine Optometry PA | Optometrist | Current | Accepting new patients |
| Forefront Eyecare PLLC | Optometrist | Current | Accepting new patients |
| New England Eye Institute Inc. | Optometrist | Current | Accepting new patients |
| All Eye Care at Davis, Inc | Optometrist | Past | 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.
-
- Optometrist
- Boston, MA
- NPI 1578713228
-
- Optometrist
- Gorham, ME
- NPI 1437182383
-
- Optometrist
- Boston, MA
- NPI 1487607388
-
- Optometrist
- Medford, MA
- NPI 1700216090
-
- Optometrist
- Standish, ME
- NPI 1700068343
-
- Eyewear Supplier
- Lewiston, ME
- NPI 1629249842
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.