| Komal Thakore, OD | |
|
1353 Dorchester Ave, Dorchester, MA 02122-2932 | |
| (617) 288-3230 | |
| (617) 288-4328 |
| Full Name | Komal Thakore |
|---|---|
| Gender | Female |
| Speciality | Optometry |
| Experience | 19 Years |
| Location | 1353 Dorchester Ave, Dorchester, Massachusetts |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568598548 | NPI | - | NPPES |
| 4588 | Other | MA | MA OPTOMETRIST LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 4588 (Massachusetts) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Tufts Medical Center | Boston, MA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Porter Square Eye Associates Inc | 3678605318 | 2 |
| Pratt Ophthalmology Associates Inc | 8628960218 | 52 |
| Provider Name | Pratt Ophthalmology Associates Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1083660534 PECOS PAC ID: 8628960218 Enrollment ID: O20040329000101 |
| Provider Name | Tufts Medical Center, Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1730132515 PECOS PAC ID: 3274442223 Enrollment ID: O20050120000316 |
| Provider Name | Porter Square Eye Associates Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1356660393 PECOS PAC ID: 3678605318 Enrollment ID: O20100716000033 |
| Mailing Address | Practice Location Address |
|---|---|
| Komal Thakore, OD 30 Cambridgepark Dr, #3109, Cambridge, MA 02140-2340 Ph: (617) 864-7570 | Komal Thakore, OD 1353 Dorchester Ave, Dorchester, MA 02122-2932 Ph: (617) 288-3230 |
Dr. Grace Eunhye Jeong, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1353 Dorchester Ave, Dorchester, MA 02122 Phone: 617-288-3230 | |
Brandon Patrick Harris, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 19 Sudan St # 2, Dorchester, MA 02125 Phone: 360-961-6074 | |
Dr. Diane M Russo, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 637 Washington St, Dorchester, MA 02124 Phone: 617-825-9660 Fax: 617-288-7898 | |
Dr. Bina Patel, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 250 Mount Vernon St, Dorchester, MA 02125 Phone: 617-288-1140 Fax: 617-288-3910 | |
Dr. Dan Phuong T Nguyen, O.D Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2110 Dorchester Ave, Suite 306, Dorchester, MA 02124 Phone: 617-296-1828 | |
Dr. Eliot Neil Cohen, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 636 Columbia Rd, Dorchester, MA 02125 Phone: 617-825-9839 | |
Boston Eyeworks Pc Optometrist Medicare: Medicare Enrolled Practice Location: 1676 Dorchester Ave, Dorchester, MA 02122 Phone: 617-288-0888 Fax: 617-288-0885 |