DR. LENA ALISA DESJARDINS (O.D.) – Optometrist, NPI 1962841361

DR. LENA ALISA DESJARDINS (O.D.) is a healthcare provider. based in Boston, Massachusetts. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 4964 (MA). The NPI Number for DR. LENA ALISA DESJARDINS (O.D.) is 1962841361

Main info

Female
Sole Proprietor
13 Years Of Experience
Accepts Medicare Assignment
Name
DR. LENA ALISA DESJARDINS (O.D.)
NPI
1962841361
Phone
(617) 338-7200
Address
121 HIGH ST
Enumeration Date
19 June 2013
Last Update Date
5 June 2024

Doctor Profile

Medical School Name
NEW ENGLAND COLLEGE OF OPTOMETRY
Secondary Phone
7817294553
Graduation Year
2013 (13 years ago)
PAC ID
7810126687
Group Practice PAC ID
2264880020
Professional Enrollment ID
I20140128001026
Address ID
MA018901913WI888XXSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:12State licenses:1Digital endpointsOther names

1,116 OPTOMETRY in MA

Provider Addresses for DR. LENA ALISA DESJARDINS (O.D.)

  • 121 HIGH ST

    BOSTON, MA 021102416

    Phone: (617) 338-7200

    Fax: (781) 334-6800

    Type: Mailing

  • 888 MAIN ST

    WINCHESTER, MA 018901913

    Phone: (617) 338-7200

    Fax: (781) 334-6800

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $317.

Total Amount is formed as General ($317) + Research ($0) + Ownership ($0) = $317.

Last reported payment date: 2024-06-03 • Largest payer in this snapshot: Alcon Vision LLC ($177).

Total Amount

$317

General + Research + Ownership

Payments

3

Total payment records

General Amount

$317

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-03

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: 2014-01-28

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
I20140128001026IOptometryMATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 02110)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2264880020View full group profile
NameSpecialtyState
O P T O M E T R YMA

Reviews

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Frequently asked questions

Can I verify DR. LENA ALISA DESJARDINS (O.D.) with an NPI only?
You can start verification with NPI 1962841361 for DR. LENA ALISA DESJARDINS (O.D.), then check state licensing separately.
Can I rely on DR. LENA ALISA DESJARDINS (O.D.) being an active provider?
As of the registry snapshot, DR. LENA ALISA DESJARDINS (O.D.) is marked active.
What is DR. LENA ALISA DESJARDINS (O.D.)'s primary classification?
Optometrist is the headline specialty for DR. LENA ALISA DESJARDINS (O.D.) here. Clinical services aligned with this taxonomy classification.
What area does DR. LENA ALISA DESJARDINS (O.D.) serve?
DR. LENA ALISA DESJARDINS (O.D.)'s listing highlights Boston, Massachusetts; more addresses can appear in NPPES.
How many locations tie to this NPI?
4 practice locations appear in the available data.

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