MICHAEL K EDELSTEIN OD, PC (NPI# 1962488684) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962488684 |
| Entity Type | Organization |
| Organization Name | MICHAEL K EDELSTEIN OD, PC |
| Practice Address |
446 Moody St Waltham MA 02453-0415 |
| Mailing Address |
Po Box 789 Ludlow MA 01056-0789 |
| Practice Telephone | 7818993200 |
| Practice Fax Number | 7818944645 |
| Mailing Telephone | 4135091000 |
| Mailing Fax Number | 4135091003 |
| Enumeration Date | 2005-12-15 |
| Last Update Date | 2008-06-11 |
| Authorized Official Name | DR. MICHAEL K EDELSTEIN (PRESIDENT) |
| Authorized Official Telephone | 7818993200 |
| Authorized Official Credential | OD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | Eye and Vision Services Providers |
| Street Address |
446 MOODY ST |
| City | WALTHAM |
| State | MA |
| Zip Code | 02453-0415 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043296213 | Michael K Edelstein | Optometrist | 446 Moody St, Waltham, MA 02453-0415 | 2005-12-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811595770 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 66 Seyon St, Waltham, MA 02453 | 2020-10-13 |
| 1679040935 | Elsa L. Lichman | Social Worker | 52 Derby Street, Waltham, MA 02453 | 2018-10-25 |
| 1760957468 | Sherry Leigh Miller | Counselor | C/o Children's Charter, 77 Rumford Ave, Waltham, MA 02453 | 2018-10-09 |
| 1639644651 | Leo V Sarkissian | Social Worker | The Arc of Massachusetts, 217 South Street, Waltham, MA 02453 | 2018-10-05 |
| 1629569512 | Abaytum Investments Inc | Home Health | 24 Crescent Street, Suite 104, Waltham, MA 02453 | 2018-05-25 |
| 1225542970 | Mikayla E Culpo | Nurse Practitioner | 9 Hope Ave Fl Bch4, Waltham, MA 02453 | 2017-11-16 |
| 1568975449 | Twyla Atherna Everett | Massage Therapist | 212 Calvary St, Waltham, MA 02453 | 2017-11-14 |
| 1407369382 | Eli Miller | Counselor | 431 River Street, Suite 1, Waltham, MA 02453 | 2017-11-14 |
| 1396263927 | Jill Zaricor | Student in an Organized Health Care Education/Training Program | 77 Rumford Ave C/o Children's Charter, Waltham, MA 02453 | 2017-09-04 |
| 1538683008 | Michael Scaduto | Physical Therapist | 110-1 Clematis Ave, Waltham, MA 02453 | 2017-07-27 |
| Find all providers in zip 02453 | ||||
| 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 |
|---|---|---|---|---|
| 1730467549 | Joanna Bomkamp Gebhardt | Optometrist | 289 Moody St, Waltham, MA 02453 | 2011-07-27 |
| 1194925784 | Qiaomei Cheng | Optometrist | 57 Matthew Ln, Waltham, MA 02452 | 2007-07-20 |
| 1881719110 | Welch Optics | Optometrist | 290 Moody St, Waltham, MA 02453-5201 | 2007-03-19 |
| 1013967389 | Arthur Bababekov | Optometrist | 66 Seyon Street, Waltham, MA 02453 | 2006-05-10 |
| 1194797001 | Lee David Lerner | Optometrist | 381 Moody St, Waltham, MA 02453-5208 | 2006-02-03 |
| 1235124389 | Dana Agnes | Optometrist | 52 2nd Ave Ste 2500, Waltham, MA 02451-1252 | 2005-09-14 |
| 1801414529 | Lucy Panoyan | Optometrist | 273 Temple Rd, Waltham, MA 02452-7828 | 2020-07-09 |
| 1578995866 | Lin Ma Chia | Optometrist | 400 5th Ave, Suite 510, Waltham, MA 02451-8706 | 2013-08-08 |
| 1336488014 | 1 On 1 Eyecare | Optometrist | 66 Seyon Street, Waltham, MA 02453 | 2013-01-31 |
| 1235368275 | Ejc Eyecare, LLC | Optometrist | 362 Moody St, Waltham, MA 02453-5204 | 2009-07-13 |
| Find all providers in WALTHAM | ||||
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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.