| Boston University Eye Associates, Inc. | |
| 
					850 Harrison Ave # Acc-3, Boston, MA 02118-4001  | |
| (617) 414-4020 | |
| (617) 414-4028 | 
| Full Name | Boston University Eye Associates, Inc. | 
|---|---|
| Type | Facility | 
| Speciality | Ophthalmology | 
| Location | 850 Harrison Ave # Acc-3, Boston, Massachusetts | 
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1285691337 | NPI | - | NPPES | 
| 9766162 | Medicaid | MA | |
| M15524 | Other | MA | BCBS | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Secondary | 
| 207W00000X | Ophthalmology | (* (Not Available)) | Primary | 
| Provider Name | Susannah G Rowe | 
|---|---|
| Provider Type | Practitioner - Ophthalmology | 
| Provider Identifiers | NPI Number: 1073509741 PECOS PAC ID: 1355312026 Enrollment ID: I20040804001896  | 
| Provider Name | Manju L Subramanian | 
|---|---|
| Provider Type | Practitioner - Ophthalmology | 
| Provider Identifiers | NPI Number: 1144216821 PECOS PAC ID: 7416925243 Enrollment ID: I20040920001070  | 
| Provider Name | Eric Staffier | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1093864621 PECOS PAC ID: 4880655653 Enrollment ID: I20041025000724  | 
| Provider Name | David C Moverman | 
|---|---|
| Provider Type | Practitioner - Ophthalmology | 
| Provider Identifiers | NPI Number: 1457348930 PECOS PAC ID: 8729035563 Enrollment ID: I20050405000283  | 
| Provider Name | Christine S Ament | 
|---|---|
| Provider Type | Practitioner - Ophthalmology | 
| Provider Identifiers | NPI Number: 1033160510 PECOS PAC ID: 7416960463 Enrollment ID: I20060717000320  | 
| Provider Name | Steven D Ness | 
|---|---|
| Provider Type | Practitioner - Ophthalmology | 
| Provider Identifiers | NPI Number: 1700844206 PECOS PAC ID: 4082617279 Enrollment ID: I20060808000217  | 
| Provider Name | Tony N Pira | 
|---|---|
| Provider Type | Practitioner - Ophthalmology | 
| Provider Identifiers | NPI Number: 1093701765 PECOS PAC ID: 4587733803 Enrollment ID: I20080513000310  | 
| Provider Name | Manishi A Desai | 
|---|---|
| Provider Type | Practitioner - Ophthalmology | 
| Provider Identifiers | NPI Number: 1750588893 PECOS PAC ID: 2264529585 Enrollment ID: I20081101000074  | 
| Provider Name | Kambiz Negahban | 
|---|---|
| Provider Type | Practitioner - Ophthalmology | 
| Provider Identifiers | NPI Number: 1881680544 PECOS PAC ID: 0749343184 Enrollment ID: I20090112000722  | 
| Provider Name | Stephen P Christiansen | 
|---|---|
| Provider Type | Practitioner - Ophthalmology | 
| Provider Identifiers | NPI Number: 1134156680 PECOS PAC ID: 1850486390 Enrollment ID: I20090723000500  | 
| Provider Name | Michele Mchale | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1972816452 PECOS PAC ID: 3870777147 Enrollment ID: I20110411000659  | 
| Provider Name | Nicole H Siegel | 
|---|---|
| Provider Type | Practitioner - Ophthalmology | 
| Provider Identifiers | NPI Number: 1780880385 PECOS PAC ID: 6608044821 Enrollment ID: I20110714000132  | 
| Provider Name | Karina A Lund | 
|---|---|
| Provider Type | Practitioner - Ophthalmology | 
| Provider Identifiers | NPI Number: 1861667594 PECOS PAC ID: 5496923575 Enrollment ID: I20110715000032  | 
| Provider Name | Audra Bake | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1700032927 PECOS PAC ID: 3173790334 Enrollment ID: I20120111000920  | 
| Provider Name | Gi H Yoon Huang | 
|---|---|
| Provider Type | Practitioner - Ophthalmology | 
| Provider Identifiers | NPI Number: 1962441857 PECOS PAC ID: 5193778306 Enrollment ID: I20120614000109  | 
| Provider Name | Rachel H Robbins | 
|---|---|
| Provider Type | Practitioner - Ophthalmology | 
| Provider Identifiers | NPI Number: 1528293974 PECOS PAC ID: 4587813985 Enrollment ID: I20120928000334  | 
| Provider Name | Jenna Titelbaum | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1811252190 PECOS PAC ID: 2466696588 Enrollment ID: I20130911000441  | 
| Provider Name | Crandall E Peeler | 
|---|---|
| Provider Type | Practitioner - Ophthalmology | 
| Provider Identifiers | NPI Number: 1548584246 PECOS PAC ID: 9436373941 Enrollment ID: I20140623002388  | 
| Provider Name | Alexis G Malkin | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1932355187 PECOS PAC ID: 1254483803 Enrollment ID: I20150729010288  | 
| Provider Name | Catherine S Choi | 
|---|---|
| Provider Type | Practitioner - Ophthalmology | 
| Provider Identifiers | NPI Number: 1235428178 PECOS PAC ID: 1850529066 Enrollment ID: I20150915002240  | 
| Provider Name | Xuejing Chen | 
|---|---|
| Provider Type | Practitioner - Ophthalmology | 
| Provider Identifiers | NPI Number: 1033484159 PECOS PAC ID: 3577858554 Enrollment ID: I20160830001795  | 
| Provider Name | Kara C Lamattina | 
|---|---|
| Provider Type | Practitioner - Ophthalmology | 
| Provider Identifiers | NPI Number: 1568788040 PECOS PAC ID: 4880828631 Enrollment ID: I20171211001860  | 
| Provider Name | Haben F Kefella | 
|---|---|
| Provider Type | Practitioner - Ophthalmology | 
| Provider Identifiers | NPI Number: 1629498290 PECOS PAC ID: 1052530771 Enrollment ID: I20180612000817  | 
| Provider Name | Micaela R Gobeille | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1033602230 PECOS PAC ID: 5395070726 Enrollment ID: I20210902001990  | 
| Provider Name | Vasiliki Poulaki | 
|---|---|
| Provider Type | Practitioner - Ophthalmology | 
| Provider Identifiers | NPI Number: 1255495651 PECOS PAC ID: 0840388500 Enrollment ID: I20221128001148  | 
| Provider Name | Tomas Andersen | 
|---|---|
| Provider Type | Practitioner - Ophthalmology | 
| Provider Identifiers | NPI Number: 1336608124 PECOS PAC ID: 5890151807 Enrollment ID: I20230517002768  | 
| Provider Name | Michael R Bivona | 
|---|---|
| Provider Type | Practitioner - Ophthalmology | 
| Provider Identifiers | NPI Number: 1508363540 PECOS PAC ID: 6406109818 Enrollment ID: I20230927001093  | 
| Provider Name | Alexander Howard Wong | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1831881895 PECOS PAC ID: 8527421817 Enrollment ID: I20240827003755  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Boston University Eye Associates, Inc. 850 Harrison Ave # Acc-3, Boston, MA 02118-4001 Ph: (617) 414-4020  | Boston University Eye Associates, Inc. 850 Harrison Ave # Acc-3, Boston, MA 02118-4001 Ph: (617) 414-4020  |