SENIORWELL OF MASSACHUSETTS LLC (NPI# 1821622689) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821622689 |
| Entity Type | Organization |
| Organization Name | SENIORWELL OF MASSACHUSETTS LLC |
| Practice Address |
90 Canal St Fl 4 Boston MA 02114-2018 |
| Mailing Address |
2100 E Lake Cook Rd Ste 1000 Buffalo Grove IL 60089-1999 |
| Practice Telephone | 8448823127 |
| Mailing Telephone | 8448823127 |
| Enumeration Date | 2020-03-02 |
| Last Update Date | 2020-03-02 |
| Authorized Official Name | JOHN MORONEY (CEO) |
| Authorized Official Telephone | 8448823127 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | Dental Providers | ||
| N | 213E00000X | Podiatrist | Podiatric Medicine & Surgery Service Providers | ||
| N | 231H00000X | Audiologist | Speech, Language and Hearing Service Providers | ||
| Y | 152W00000X | Optometrist | Eye and Vision Services Providers |
| Other Name | Type Code |
|---|---|
| SeniorWell of Massachusetts LLC | Doing Business As Name - Organization |
| Street Address |
90 CANAL ST FL 4 |
| City | BOSTON |
| State | MA |
| Zip Code | 02114-2018 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588091573 | Kaitlin Elizabeth Kertesz | Social Worker | 90 Canal St Fl 4, Boston, MA 02114-2018 | 2013-10-04 |
| 1528666500 | Kali Trepanier | Behavior Technician | 90 Canal St Fl 4, Boston, MA 02114-2018 | 2020-10-13 |
| 1609474501 | Leah Hoffman | Behavior Technician | 90 Canal St Fl 4, Boston, MA 02114-2018 | 2020-10-13 |
| 1720686629 | Niloufar Ziya Mahmoudi | Behavior Technician | 90 Canal St Fl 4, Boston, MA 02114-2018 | 2020-10-13 |
| 1326646308 | Sadaf Tauhid | Behavior Technician | 90 Canal St Fl 4, Boston, MA 02114-2018 | 2020-10-13 |
| 1902410640 | Talk2me LLC | Clinic/Center | 90 Canal St Fl 4, Boston, MA 02114-2018 | 2020-09-01 |
| 1447878376 | Champions Nursing Services, LLC | Home Infusion | 90 Canal St Fl 4, Boston, MA 02114-2018 | 2020-07-07 |
| 1306467436 | Blossom Revenue Cycle Solutions LLC | Specialist | 90 Canal St Fl 4, Boston, MA 02114-2018 | 2020-04-29 |
| 1568954808 | Through The Forest Counseling Inc. | Counselor | 90 Canal St Fl 4, Boston, MA 02114-2018 | 2018-06-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588276281 | Guoliang Qiao | Student in an Organized Health Care Education/Training Program | Massachusetts General Hospital, 55 Fruit Street., Boston, MA 02114 | 2020-08-24 |
| 1881223741 | Alexander Wesley Zirulnik | Student in an Organized Health Care Education/Training Program | 55 Fruit St. Boston, Boston, MA 02114 | 2020-04-03 |
| 1376170548 | Mia Yu Bothwell | Student in an Organized Health Care Education/Training Program | Gray Bigelow 730, 55 Fruit Street, Boston, MA 02114 | 2020-03-26 |
| 1225661036 | David Dongkyung Kim | Student in an Organized Health Care Education/Training Program | 6 Whittier Place, Apartment 15b, Boston, MA 02114 | 2020-02-20 |
| 1124651658 | Madeleine Sertic | Student in an Organized Health Care Education/Training Program | Division of Abdominal Imaging, Department of Radiology, 55 Fruit Street, White 270, Boston, MA 02114 | 2020-02-12 |
| 1285274498 | Jiuk James Jung | Student in an Organized Health Care Education/Training Program | 15 Parkman Ave, Wang 4-460, Boston, MA 02114 | 2020-01-15 |
| 1831740448 | Jennifer Hughes | Physician Assistant | 55 Fruit Street, Founders 110, Boston, MA 02114 | 2019-09-25 |
| 1558827220 | Aluma Chovel Sella | Student in an Organized Health Care Education/Training Program | Massgeneral Hospital for Children Main Campus, 55 Fruit Street, Boston, MA 02114 | 2019-02-18 |
| 1083187140 | Henry Oliveras | Massage Therapist | 102 Charles Street, Boston, MA 02114 | 2019-01-10 |
| 1720550031 | Nicole M Price | Social Worker | 29 Staniford St, Boston, MA 02114 | 2018-12-27 |
| Find all providers in zip 02114 | ||||
| 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 |
|---|---|---|---|---|
| 1790314557 | Kirsten Brady | Optometrist | 10 Fairfield St Apt 3, Boston, MA 02116-1666 | 2020-04-03 |
| 1922647403 | Claudia Christine Evans | Optometrist | 8 Gloucester St, Boston, MA 02115-1720 | 2019-12-31 |
| 1437790813 | Arianna Yoshiko Jordan | Optometrist | 83 Newbury St Ste 3, Boston, MA 02116-3284 | 2019-10-07 |
| 1528628625 | Molly Jean Admire | Optometrist | 31 Saint James Ave Ste 135, Boston, MA 02116-4101 | 2019-06-19 |
| 1770097040 | Doug Haigh Eye Care LLC | Optometrist | 588 E 7th St, Boston, MA 02127-4224 | 2017-11-25 |
| 1487108585 | Alina Reznik | Optometrist | 33 Arch St Fl 16, Boston, MA 02110-1424 | 2016-08-08 |
| 1417326182 | Darryl Grace & Associates PC | Optometrist | 101 Arch St, Cohen's Fashion Optical, Boston, MA 02110-1130 | 2015-09-23 |
| 1437535895 | Xueling Song | Optometrist | 155 Federal St # 150, Boston, MA 02110-1727 | 2015-08-07 |
| 1699165357 | Azadeh Kelly | Optometrist | 33 Broad St Lbby 2, Boston, MA 02109-4229 | 2015-02-02 |
| 1164825428 | Rachel Bates | Optometrist | 513 Beacon St, Apt 10, Boston, MA 02215-2309 | 2014-10-01 |
| Find all providers in BOSTON | ||||
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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.