EYE ASSOCIATES OF SOMERVILLE INC. (NPI# 1457491300) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457491300 |
| Entity Type | Organization |
| Organization Name | EYE ASSOCIATES OF SOMERVILLE INC. |
| Other Organization Name | ALAN TITELBAUM |
| Practice Address |
174 Broadway Somerville MA 02145-3129 |
| Practice Telephone | 6176661800 |
| Practice Fax Number | 6176284930 |
| Mailing Telephone | 6176661800 |
| Mailing Fax Number | 6176284930 |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2008-10-17 |
| Authorized Official Name | DR. ALAN RICHARD TITELBAUM (OPTOMETRIST) |
| Authorized Official Telephone | 6176661800 |
| Authorized Official Credential | O.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 2955 | MA | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 9707310 | 05 |
| Other Name | Type Code |
|---|---|
| ALAN TITELBAUM | Doing Business As Name - Organization |
| Street Address |
174 BROADWAY |
| City | SOMERVILLE |
| State | MA |
| Zip Code | 02145-3129 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144289190 | Yasaman Ghavami | Optometrist | 174 Broadway, Somerville, MA 02145-3129 | 2006-03-20 |
| 1710454467 | Jennifer Kim Hsiao-fang-yen | Optometrist | 174 Broadway, Somerville, MA 02145-3129 | 2018-10-31 |
| 1851351100 | Alan Richard Titelbaum | Optometrist | 174 Broadway, Somerville, MA 02145-3129 | 2006-03-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497230684 | Marisa Katherine Glynn | Psychologist | 35 Edgar Avenue, Somerville, MA 02145 | 2018-10-03 |
| 1811478274 | Rolanda Santos Prophete | Counselor | 18 Sargent Ave, Somerville, MA 02145 | 2018-08-23 |
| 1619465101 | Shannon Comer | Registered Nurse | 64 Sycamore St Apartment 1, Somerville, MA 02145 | 2018-04-30 |
| 1184121261 | Deborah Camara | Social Worker | 89 Cross Street, Apt 1, Somerville, MA 02145 | 2018-04-06 |
| 1073047569 | Nicole Patzelt | Dermatology | 192a School St Apt 2, Somerville, MA 02145 | 2017-04-12 |
| 1316327018 | Christina Gasbarro | Family Medicine | Cha Assembly Square Care Center, 5 Middlesex Avenue, Somerville, MA 02145 | 2015-06-08 |
| 1902236359 | Prativa Bhatta | Counselor | 76 Cross St, Somerville, MA 02145 | 2013-11-21 |
| 1427497015 | Veronica Wu | Physician Assistant | 60 Clyde Street, #5, Somerville, MA 02145 | 2013-06-18 |
| 1790045797 | Cambridge Health Alliance | Rehabilitation Unit | 2 Middlesex Avenue, Somerville, MA 02145 | 2012-05-23 |
| 1871809665 | Lauren Holland | Occupational Therapist | 5 Middlesex Avenue, Somerville, MA 02145 | 2010-08-31 |
| Find all providers in zip 02145 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639447329 | Twin City Eye, Inc. | Optometrist | 22 Mcgrath Hwy # 4, Pearle Vision, Somerville, MA 02143-4508 | 2011-12-08 |
| 1104009232 | Yoram Friedman | Optometrist | 30 Roosevelt Pl, Somerville, NJ 08876-2010 | 2007-12-12 |
| 1205039484 | Arthur Samuel Muccilli | Optometrist | 10 Codington Place, Somerville, NJ 08876 | 2007-06-06 |
| 1003034752 | Steven Angelillo | Optometrist | 286 Broadway, Somerville, MA 02145-2934 | 2007-04-20 |
| 1194895052 | Charles P. Haddad O.d. | Optometrist | 105 East Market Street, Somerville, TN 38068-0489 | 2006-11-08 |
| 1548339690 | Michelle V Timko | Optometrist | 50 Division St Ste 101, Somerville, NJ 08876-2943 | 2006-11-06 |
| 1942216759 | Dzenana Idrizovic | Optometrist | 65 Beacon St, Somerville, MA 02143-4324 | 2006-08-01 |
| 1811935620 | Robert A. Kempler | Optometrist | 1 W Cliff St, Somerville, NJ 08876-1901 | 2006-06-03 |
| 1144289190 | Yasaman Ghavami | Optometrist | 174 Broadway, Somerville, MA 02145-3129 | 2006-03-20 |
| 1316937568 | Charles P Haddad | Optometrist | 105 E Market St, Somerville, TN 38068-1407 | 2005-10-27 |
| Find all providers in SOMERVILLE | ||||
| City | SOMERVILLE |
| Zip Code | 02145 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.