Unknown Individual – Optometrist, NPI 1336203470
Optometrist
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Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Unknown Individual
1191 Chestnut St
Suite 1
Newton Upper Falls, MA 024641351
Phone: (617) 243-3937
Fax: (617) 243-3935
Type: Location
50 Staniford St Ste 600
Boston, MA 021142587
Phone: (800) 635-0489
Type: Location
101, Avalon Road, Waban, Newton, Middlesex County, Massachusetts, 02468, United States
WABAN, MA 024681611
Phone: (617) 923-2323
Fax: (617) 926-2835
Type: Mailing
124 WATERTOWN ST STE 3E
WATERTOWN, MA 02472
Phone: (617) 923-2323
Fax: (617) 926-2835
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $20.
Total Amount is formed as General ($20) + Research ($0) + Ownership ($0) = $20.
Last reported payment date: 2023-03-22 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($20).
Total Amount
$20
General + Research + Ownership
Payments
1
Total payment records
General Amount
$20
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-03-22
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Bausch & Lomb Americas Inc. | $20 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 02464)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| OPTOMETRY | MA | 92012 | Eye and medical examination for diagnosis and treatment, established patient | 225 | 183 |
| OPTOMETRY | MA | 92083 | Measurement of field of vision during daylight conditions | 76 | 75 |
| OPTOMETRY | MA | 92134 | Diagnostic imaging of retina | 12 | 12 |
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