Childrens Hospital Ophthalmology Foundation Inc - Medicare in Boston, MA

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Childrens Hospital Ophthalmology Foundation Inc is a medicare enrolled "Ophthalmology" provider in Boston, Massachusetts. Their current practice location is 300 Longwood Avenue, Fegan 4, Boston, Massachusetts. You can reach out to their office (for appointments etc.) via phone at (617) 355-6401.

Childrens Hospital Ophthalmology Foundation Inc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Childrens Hospital Ophthalmology Foundation Inc is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1770679045.

Contact Information

Childrens Hospital Ophthalmology Foundation Inc
300 Longwood Avenue, Fegan 4,
Boston, MA 02115
(617) 355-6401
(617) 730-0392

Map and Direction




Healthcare Provider's Profile

Full NameChildrens Hospital Ophthalmology Foundation Inc
TypeFacility
SpecialityOphthalmology
Location300 Longwood Avenue, Boston, Massachusetts
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1770679045
  • Provider Enumeration Date: 10/05/2006
  • Last Update Date: 09/26/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 8729049150
  • Enrollment ID: O20041020000189

Medical Identifiers

Medical identifiers for Childrens Hospital Ophthalmology Foundation Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1770679045NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist (* (Not Available))Secondary
207W00000XOphthalmology (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Childrens Hospital Ophthalmology Foundation Inc acts as a billing entity for following providers:
Provider NameAmy R. Moy
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1164439824
PECOS PAC ID: 0345210159
Enrollment ID: I20040729000196
Provider NameKathryn B Miller
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1134219199
PECOS PAC ID: 9133180664
Enrollment ID: I20041019000858
Provider NameCarolyn S Wu
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1073603072
PECOS PAC ID: 2163475500
Enrollment ID: I20050225000509
Provider NameLois E Smith
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1639269616
PECOS PAC ID: 5193769545
Enrollment ID: I20050616000068
Provider NameKimberley W Chan
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1104908458
PECOS PAC ID: 4183658339
Enrollment ID: I20051004000535
Provider NameAnna Baglieri
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1992811509
PECOS PAC ID: 0446278931
Enrollment ID: I20051103000184
Provider NameDanielle Ledoux
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1528085982
PECOS PAC ID: 5294766754
Enrollment ID: I20070418000391
Provider NameJeffrey A Sorkin
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1639248305
PECOS PAC ID: 4284712159
Enrollment ID: I20080417000059
Provider NameJoyce Chien
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1093787566
PECOS PAC ID: 3870541071
Enrollment ID: I20090304000069
Provider NameSuzanne C Johnston
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1689796682
PECOS PAC ID: 8628141454
Enrollment ID: I20090406000070
Provider NameGena Heidary
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1972651206
PECOS PAC ID: 8628125358
Enrollment ID: I20090414000697
Provider NameAlexandra T Elliott
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1407962905
PECOS PAC ID: 4486639176
Enrollment ID: I20090513000596
Provider NameAnkoor S Shah
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1528122819
PECOS PAC ID: 2163573551
Enrollment ID: I20090624000676
Provider NameIason Mantagos
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1720255482
PECOS PAC ID: 2567513864
Enrollment ID: I20090626000251
Provider NameAisha Sarah Traish
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1689738205
PECOS PAC ID: 6901958453
Enrollment ID: I20090715000284
Provider NameMelanie A Kazlas
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1487638680
PECOS PAC ID: 5799820098
Enrollment ID: I20100310000634
Provider NameAnne B Fulton
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1194815191
PECOS PAC ID: 2466628839
Enrollment ID: I20120106000062
Provider NameLinda R Dagi
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1376631432
PECOS PAC ID: 5991971368
Enrollment ID: I20120106000090
Provider NameDavid G Hunter
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1659461663
PECOS PAC ID: 3971564345
Enrollment ID: I20120204000000
Provider NameDeborah K Vanderveen
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1952491953
PECOS PAC ID: 2769640028
Enrollment ID: I20120216000466
Provider NameMary C Whitman
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1174767479
PECOS PAC ID: 4981848066
Enrollment ID: I20130910000972
Provider NameBharti K Gangwani
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1427286194
PECOS PAC ID: 0749424190
Enrollment ID: I20130925000146
Provider NameAparna Raghuram
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1053560706
PECOS PAC ID: 7113152794
Enrollment ID: I20131107000691
Provider NameAnna Kirillova
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1740699016
PECOS PAC ID: 5294047270
Enrollment ID: I20150706000155
Provider NamePreeti L Mokka
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1124412465
PECOS PAC ID: 9830407865
Enrollment ID: I20150924001876
Provider NameMaan S. Alkharashi
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1003290065
PECOS PAC ID: 7810293099
Enrollment ID: I20160315000655
Provider NameEric D Gaier
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1134568199
PECOS PAC ID: 3274757109
Enrollment ID: I20170803003157
Provider NameJose Efren Gonzalez Monroy
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1508159583
PECOS PAC ID: 4981823515
Enrollment ID: I20170913000428
Provider NameJae Young You
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1518250679
PECOS PAC ID: 1355560145
Enrollment ID: I20170920001360
Provider NameEmily K Wiecek
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1679098719
PECOS PAC ID: 3476810219
Enrollment ID: I20171201002651
Provider NameEric A Moulton
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1669912283
PECOS PAC ID: 1254695620
Enrollment ID: I20180511000135
Provider NameRyan Andrew Gise
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1417214107
PECOS PAC ID: 7214284678
Enrollment ID: I20180717003044
Provider NameThomas Dohlman
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1174938120
PECOS PAC ID: 5193072221
Enrollment ID: I20180720001600
Provider NameErin Halley Stockman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1811464837
PECOS PAC ID: 4486991742
Enrollment ID: I20190124000260
Provider NameChristina Scelfo
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1548655061
PECOS PAC ID: 9931494044
Enrollment ID: I20190517001215
Provider NameBenjamin G Jastrzembski
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1811307325
PECOS PAC ID: 6608093778
Enrollment ID: I20190627001361
Provider NameJoseph F Griffith
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1376807305
PECOS PAC ID: 8426358474
Enrollment ID: I20190708002250
Provider NameEdith R Reshef
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1215381363
PECOS PAC ID: 8527358100
Enrollment ID: I20200604000427
Provider NameIsdin Oke
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1811346588
PECOS PAC ID: 3678849833
Enrollment ID: I20200609000794
Provider NameDaniel M Vu
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1336535020
PECOS PAC ID: 1951693753
Enrollment ID: I20200909001765
Provider NameNimesh Patel
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1083029763
PECOS PAC ID: 9537403340
Enrollment ID: I20200910002923
Provider NameAlexander Young
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1295114775
PECOS PAC ID: 8224448519
Enrollment ID: I20201027001576
Provider NameJenny C Dohlman
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1639600257
PECOS PAC ID: 7416226964
Enrollment ID: I20210513000249
Provider NameMarguerite Cullen Weinert
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1528596509
PECOS PAC ID: 5193097855
Enrollment ID: I20210622001202
Provider NameJoseph Anaya
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1285154500
PECOS PAC ID: 4183978828
Enrollment ID: I20210813001698
Provider NameTiffany A Chen
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1003310673
PECOS PAC ID: 3678986478
Enrollment ID: I20220520002273
Provider NameLeyla Karim
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1316515919
PECOS PAC ID: 1456758739
Enrollment ID: I20220606001869
Provider NameShravan V Savant
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1932605250
PECOS PAC ID: 7416288212
Enrollment ID: I20220707002935
Provider NamePablo Andres Altschwager Kreft
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1023425832
PECOS PAC ID: 0749663573
Enrollment ID: I20220811002024
Provider NameLauren E Butler
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1548990534
PECOS PAC ID: 1355719857
Enrollment ID: I20221114002627
Provider NameBaha Eddin El Khatib
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1417481946
PECOS PAC ID: 4789087370
Enrollment ID: I20230516002437
Provider NameLindsay D Rothfield
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1629637236
PECOS PAC ID: 4183951163
Enrollment ID: I20230601000380
Provider NameMichael Nguyen
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1538865480
PECOS PAC ID: 9830544089
Enrollment ID: I20231009002441
Provider NameSardar Mohammad Ali Ayaz Sadiq
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1891058590
PECOS PAC ID: 6901255371
Enrollment ID: I20231211001146

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Childrens Hospital Ophthalmology Foundation Inc is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Childrens Hospital Ophthalmology Foundation Inc
300 Longwood Avenue, Fegan 4,
Boston, MA 02115

Ph: (617) 355-6405		Childrens Hospital Ophthalmology Foundation Inc
300 Longwood Avenue, Fegan 4,
Boston, MA 02115

Ph: (617) 355-6401

Reviews and Comments



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