Michael K Edelstein OD, PC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

MICHAEL K EDELSTEIN OD, PC

Practice address

446 Moody St
Waltham, MA 02453-0415

Phone

(781) 899-3200

Fax

(781) 894-4645

NPI assigned

Dec 15, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Michael K Edelstein, ODNPI 1043296213

Title

President

Phone

(781) 899-3200

Specialties & licenses 1

Addresses

Other names 1

• Baystate Eye Associates Doing business as

Locations

Practitioners 2

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

• Michael K Edelstein, OD

  • Optometrist
  • Waltham, MA
  • NPI 1043296213
  NPD Authorized official
• Robert Jameson, OD

  • Student in an Organized Health Care Education/Training Program
  • Waltham, MA
  • NPI 1770200917
  NPD

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

{
    "created_epoch": "1134604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738108800000",
    "number": "1962488684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "446 MOODY ST",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024530415",
            "telephone_number": "413-509-1000",
            "fax_number": "413-509-1003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "446 MOODY ST",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024530415",
            "telephone_number": "781-899-3200",
            "fax_number": "781-894-4645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL K EDELSTEIN OD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-15",
        "last_updated": "2025-01-29",
        "certification_date": "2025-01-29",
        "status": "A",
        "authorized_official_last_name": "EDELSTEIN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "781-899-3200",
        "authorized_official_name_prefix": "Dr.",
        "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": [
        {
            "organization_name": "Baystate Eye Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Emily Messner, OTR/L
• Ralph-Nise Shane Metellus
• Metro-West Neurological and Musculoskeletal Associates Management Corp
• Metrowest Occupational Therapy
• Sarah Meyer
• Sidney Michaux, DPT
• Amanda Rose Michel, PT, DPT
• Guy-Smarth Michel
• Tatjana Micunovic, MS
• Mary Mikes

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.