THEODORE M VITELLI (OD) – Optometrist, NPI 1700835030

THEODORE M VITELLI (OD) is a healthcare provider. based in Chestnut hill, Massachusetts. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 0EG000424 (PA). The NPI Number for THEODORE M VITELLI (OD) is 1700835030

Main info

Male
29 Years Of Experience
Accepts Medicare Assignment
Name
THEODORE M VITELLI (OD)
NPI
1700835030
Phone
(617) 541-6375
Address
291 Independence Dr
Enumeration Date
5 May 2006
Last Update Date
9 November 2017

Doctor Profile

Medical School Name
OHIO STATE UNIVERSITY - COLLEGE OF OPTOMETRY
Secondary Phone
5087750881
Graduation Year
1997 (29 years ago)
PAC ID
9133119548
Professional Enrollment ID
I20101214000525
Address ID
MA026015109HY65XXXEXTX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:20State licenses:2Digital endpointsOther names

1,116 OPTOMETRY in MA

Provider Addresses for THEODORE M VITELLI (OD)

  • 291 Independence Dr

    Chestnut Hill, MA 024673628

    Phone: (617) 541-6375

    Type: Location

  • 65, Sea Street Extension, Hyannis, Barnstable, Barnstable County, Massachusetts, 02601, United States

    HYANNIS, MA 026015109

    Phone: (508) 775-0881

    Type: Mailing

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 $40.

Total Amount is formed as General ($40) + Research ($0) + Ownership ($0) = $40.

Last reported payment date: 2024-10-11 • Largest payer in this snapshot: Oyster Point Pharma, Inc. ($40).

Total Amount

$40

General + Research + Ownership

Payments

1

Total payment records

General Amount

$40

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-11

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-12-14

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20101214000525IOptometryMATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
66984Removal of cataract with insertion of prosthetic lens2,37020$0
99214Established patient office or other outpatient visit, 30-39 minutes258239$0
99213Established patient office or other outpatient visit, 20-29 minutes198176$0
92014Established patient complete exam of visual system7271$0
92133Imaging of optic nerve5959$0
View full utilization report →

Insurance plans in this area (ZIP 02467)

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Provider's Procedures

THEODORE M VITELLI (OD) performs procedures in OPTOMETRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPTOMETRYMA92012Eye and medical examination for diagnosis and treatment, established patient1616

Reviews

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Frequently asked questions

How do payers reference THEODORE M VITELLI (OD)?
For THEODORE M VITELLI (OD), use NPI 1700835030 as the unique 10-digit identifier.
Is THEODORE M VITELLI (OD) still an active registrant?
THEODORE M VITELLI (OD) carries an active NPI according to the public dataset.
What expertise is attributed to THEODORE M VITELLI (OD)?
THEODORE M VITELLI (OD)'s specialty line reads Optometrist. Clinical services aligned with this taxonomy classification.
Where in Massachusetts is THEODORE M VITELLI (OD) registered?
Use Chestnut Hill, Massachusetts as the headline location for THEODORE M VITELLI (OD) here.
Can I trust this NPI listing for THEODORE M VITELLI (OD)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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