BOSTON EYE SURGERY & LASER CENTER TRUST (NPI# 1639215502) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639215502 |
| Entity Type | Organization |
| Organization Name | BOSTON EYE SURGERY & LASER CENTER TRUST |
| Other Organization Name | BOSTON EYE SURGERY & LASER CENTER |
| Practice Address |
52 2nd Ave Suite 2500 Waltham MA 02451-1127 |
| Practice Telephone | 7817685590 |
| Practice Fax Number | 7814875717 |
| Mailing Telephone | 7817685590 |
| Mailing Fax Number | 7814875717 |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2012-03-06 |
| Authorized Official Name | TREXLER M TOPPING (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 6173142624 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Boston Eye Surgery & Laser Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124116264 | Boston Eye Surgery & Laser Center Trust | Clinic/Center | 50 Staniford St, Lobby Level, Boston, MA 02114-2517 | 2006-10-11 |
| Street Address |
52 2ND AVE SUITE 2500 |
| City | WALTHAM |
| State | MA |
| Zip Code | 02451-1127 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124091103 | Allison Lloyd Mcdonough | Internal Medicine | 52 2nd Ave, Suite 2000, Waltham, MA 02451-1127 | 2006-02-09 |
| 1750924148 | Allison Partridge | Physical Therapist | 52 2nd Ave, Waltham, MA 02451-1127 | 2019-10-18 |
| 1942691803 | Massachusetts General Physicians Organization, Inc | Durable Medical Equipment & Medical Supplies | 52 2nd Ave, Waltham, MA 02451-1127 | 2015-02-13 |
| 1265821045 | Maureen French | Obstetrics & Gynecology | 52 2nd Ave, Waltham, MA 02451-1127 | 2015-01-15 |
| 1851716054 | Lucy Miller | Nurse Practitioner | 52 2nd Ave, Suite 1110, Waltham, MA 02451-1127 | 2014-02-25 |
| 1609213875 | Haylee Borgstrom | Physical Medicine & Rehabilitation | 52 2nd Ave, Waltham, MA 02451-1127 | 2013-05-29 |
| 1588953368 | Shilpa Renu Kumar | Internal Medicine | 52 2nd Ave, Suite 2000, Waltham, MA 02451-1127 | 2011-04-01 |
| 1235341108 | Reem Jabr | Dietitian, Registered | 52 2nd Ave, Suite 2000, Waltham, MA 02451-1127 | 2007-05-04 |
| 1982824389 | Titilayo Oluseyi Alabi | Family Medicine | 52 2nd Ave, Suite 2000, Waltham, MA 02451-1127 | 2007-04-26 |
| 1659416139 | Michelle Nancy Knowles | Nurse Practitioner | 52 2nd Ave, Suite 1110, Waltham, MA 02451-1127 | 2007-02-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538719190 | Haeun Yang | Behavior Technician | 303 Wyman Street Suite 354, 344, 345, Waltham, MA 02451 | 2019-09-16 |
| 1982252599 | Sinclair Fashaw-braxton | Behavior Technician | 303 Wyman Street, Suite 354, 344, 345, Waltham, MA 02451 | 2019-08-27 |
| 1245715879 | Annie F Friedman | Social Worker | Extended Stay America, 32 4the Avenue, Waltham, MA 02451 | 2018-09-28 |
| 1760964118 | Elizabeth Boardman Harris | Social Worker | 60 Hickory Drive 4th Floor, Waltham, MA 02451 | 2018-09-02 |
| 1760960959 | Patriot Urgent Care Professionals, PC | General Practice | 1030 Main Street, Unit 2, Waltham, MA 02451 | 2018-07-31 |
| 1962998013 | Leighann Teresa Healy | Behavior Technician | 303 Wyman Suite 300, Waltham, MA 02451 | 2018-07-02 |
| 1194234492 | Bruna Rossi Hoffman | Dentist | 12 Grant Place, Apt 1, Waltham, MA 02451 | 2017-09-29 |
| 1265959159 | Matthew C Page-shelton | Counselor | 2208 Stearns Hill Road, Waltham, MA 02451 | 2017-08-23 |
| 1306380837 | Sherri Lynn Duquette | Behavior Technician | 1430 Main Street, Waltham, MA 02451 | 2016-12-19 |
| 1649628728 | Keren Matveev | Family Medicine | 75 Third Avenue, First Floor, Waltham, MA 02451 | 2016-05-30 |
| Find all providers in zip 02451 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578534459 | Boston Out-patient Surgical Suites, LLC | Clinic/Center | 840 Winter St, 3rd Floor, Waltham, MA 02451-1433 | 2006-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073149365 | Medford Surgery Center, LLC | Clinic/Center | 170 Governors Ave Ste 100, Medford, MA 02155-1643 | 2020-03-18 |
| 1629603162 | Natick Surgery Center, LLC | Clinic/Center | 313 Speen St Ste 200, Natick, MA 01760-1538 | 2020-03-05 |
| 1679115166 | Prima Care, PC | Clinic/Center | 277 Pleasant St Ste 240, Fall River, MA 02721-3005 | 2019-10-16 |
| 1194275230 | West Suburban Eye Surgery Center LLC | Clinic/Center | 321 Billerica Rd, Chelmsford, MA 01824-4169 | 2016-10-13 |
| 1548591761 | New England Pain Associates. PC | Clinic/Center | 851 Main St Unit 16, Weymouth, MA 02190-1612 | 2010-01-28 |
| 1598096273 | New England Pain Associates, PC | Clinic/Center | 340 Wood Road, Suite 204, Braintree, MA 02184 | 2010-01-20 |
| 1598096257 | New England Pain Assocites, PC | Clinic/Center | 340 Wood Road, Suite 204, Braintree, MA 02184 | 2010-01-20 |
| 1073843694 | New England Pain Associates, PC | Clinic/Center | 10 Converse Place 4th Floor, Winchester, MA 01890 | 2010-01-04 |
| 1477655801 | Cataract and Laser Center Associates PC | Clinic/Center | 1 Berkshire Sq, Suite 110, Adams, MA 01220-1300 | 2006-09-05 |
| 1730113325 | Dha Endoscopy LLC | Clinic/Center | 91 Montvale Ave Ste 103, Stoneham, MA 02180-3649 | 2006-07-10 |
| Find all providers with the same taxonomy | ||||
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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.