VINE BROOK EYECARE LLC (NPI# 1881144079) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881144079 |
| Entity Type | Organization |
| Organization Name | VINE BROOK EYECARE LLC |
| Other Organization Name | POLSONETTI OPTOMETRY LLC |
| Practice Address |
1300 Middlesex Turnpike Burlington MA 01803 |
| Mailing Address |
120 Orchard St Tewksbury MA 01876-2095 |
| Practice Telephone | 7812386141 |
| Enumeration Date | 2016-10-11 |
| Last Update Date | 2017-06-15 |
| Authorized Official Name | DR. DARINA POLSONETTI (OWNER) |
| Authorized Official Telephone | 9785780491 |
| Authorized Official Credential | O.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 4681 | MA | Eye and Vision Services Providers |
| Other Name | Type Code |
|---|---|
| Polsonetti Optometry LLC | Former Legal Business Name - Organization |
| Street Address |
1300 MIDDLESEX TURNPIKE |
| City | BURLINGTON |
| State | MA |
| Zip Code | 01803 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770030710 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 1300 Middlesex Turnpike, Burlington, MA 01803 | 2016-09-07 |
| 1285242701 | Chloe Somers | Optometrist | 1300 Middlesex Turnpike, Burlington, MA 01803 | 2020-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780219089 | Mallika Tara Iyer | Behavior Technician | 64 S Bedford Street, Burlington, MA 01803 | 2020-03-06 |
| 1518445709 | Patriot Urgent Care Professionals, PC | General Practice | 90 Middlesex Turnpike, Burlington, MA 01803 | 2018-07-31 |
| 1932608122 | Danielle Berkowitz | Registered Nurse | 90 Middlesex Tpke Ste G, Burlington, MA 01803 | 2018-02-02 |
| 1255861860 | David William Mahnken | Social Worker | 11a Cypress Drive, Burlington, MA 01803 | 2017-06-15 |
| 1083091557 | Burlington Eye Group, Inc | Optometrist | 74 Burlington Mall Road, Burlington, MA 01803 | 2015-05-04 |
| 1720485535 | Db2 Practice Management | Clinic/Center | 11 Cambridge St, Burlington, MA 01803 | 2014-11-21 |
| 1689081812 | Jasmit Minhas | Internal Medicine | 9 Kimball Court, Apt 112, Burlington, MA 01803 | 2014-07-21 |
| 1528404993 | Alexander David Neusner | Surgery | 40 Mall Rd, Burlington, MA 01803 | 2013-05-13 |
| 1730421389 | First Choice Dental Group | Dentist | 11 Camridge Street, Burlington, MA 01803 | 2013-03-21 |
| 1861747974 | A Step Ahead-boston, LLC | Prosthetic/Orthotic Supplier | 21 A Street, Burlington, MA 01803 | 2012-07-16 |
| Find all providers in zip 01803 | ||||
| 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 |
|---|---|---|---|---|
| 1659901569 | Myeyedr Optometry of Massachusetts P C | Optometrist | 50 Mall Rd Ste 114, Burlington, MA 01803-4527 | 2020-01-20 |
| 1114445145 | Katlyn Lane Lee | Optometrist | 1821 Florence Pike Ste 1, Burlington, KY 41005-7942 | 2017-08-30 |
| 1174077036 | Nicole Frances Theiss | Optometrist | 74 Burlington Mall Rd, Burlington, MA 01803-4518 | 2016-08-09 |
| 1083091557 | Burlington Eye Group, Inc | Optometrist | 74 Burlington Mall Road, Burlington, MA 01803 | 2015-05-04 |
| 1528467800 | Joseph Wald Od Inc | Optometrist | 406 E Fairhaven Ave, Burlington, WA 98233-1819 | 2014-08-22 |
| 1053727388 | Riya Paranthan | Optometrist | 7373 Ironwood Way, Burlington, KY 41005-8838 | 2014-07-08 |
| 1629406731 | Drs Price Young Odle & Horsch Pa | Optometrist | 800 N 4th St, Ste 102, Burlington, KS 66839-2617 | 2013-10-29 |
| 1982944062 | Spitz Eyecare LLC | Optometrist | 1035 Lawrence St, Suite 106, Burlington, IA 52601-1549 | 2013-02-26 |
| 1851640932 | Melissa A Rupp | Optometrist | 1035 Lawrence Drive, Suite 106, Burlington, IA 52601 | 2012-09-05 |
| 1093001117 | Nazmul Hasan | Optometrist | 2106 Burlington Mount Holly Rd, Walmart Vision Center, Burlington, NJ 08016-4158 | 2011-06-27 |
| Find all providers in BURLINGTON | ||||
| City | BURLINGTON |
| Zip Code | 01803 |
Please comment or provide details below to improve the information on VINE BROOK EYECARE LLC.
| 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.