HARVARD SQUARE EYE CARE P.C. NPI 1003002155

Optometrist in Cambridge, MA

Organization Optometrist Medicare Supplier

About HARVARD SQUARE EYE CARE P.C.

Harvard Square Eye Care P.c. is a provider established in Cambridge, Massachusetts specializing in optometrist. The NPI number of Harvard Square Eye Care P.c. is 1003002155 and was assigned on September 2007. The practitioner's primary taxonomy code is 152W00000X with license number 4211 (MA). The provider is registered as an organization and their NPI record was last updated 12 years ago. Harvard Square Eye Care P.c. operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Dr. Lauren Dickerman O.d. (President)

The provider accepts Medicare assignment for all durable medical equipment and supplies. Harvard Square Eye Care P.c. carries the following product categories: conventional contact lenses or conventional eyeglasses.

NPI

1003002155

Provider NameHARVARD SQUARE EYE CARE P.C.
Provider Location Address19 DUNSTER ST CAMBRIDGE, MA 02138
Provider Mailing Address19 DUNSTER ST CAMBRIDGE, MA 02138
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date09-22-2007
Last Update Date03-04-2008

Primary Taxonomy

Taxonomy Code152W00000X
ClassificationOptometrist
TypeEye and Vision Services Providers
License No.4211
License StateMA
Taxonomy DescriptionDoctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Business Address

HARVARD SQUARE EYE CARE P.C.
19 DUNSTER ST
CAMBRIDGE, MA
ZIP 02138
Phone: (617) 354-5590

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Mailing Address

HARVARD SQUARE EYE CARE P.C.
19 DUNSTER ST
CAMBRIDGE, MA
ZIP 02138
Phone: (617) 354-5590

Authorized Official

Authorized Official NameDR. LAUREN DICKERMAN O.D.
Authorized Official TitlePRESIDENT
Authorized Official Phone

Medicare - Medical Supplier Products

The provider accepts medicare and carries the following medical supplies product categories:

  • Prosthetic Lenses: Conventional Contact Lenses - Conventional Contact Lenses
  • Prosthetic Lenses: Conventional Eyeglasses - Conventional Eyeglasses

Group Taxonomy


193200000X MULTI-SPECIALTY GROUP - This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1152WP0200XEye and Vision Services ProvidersOptometristPediatrics4211MANo

Taxonomy Description: optometrists who work in Pediatrics are concerned with the prevention, development, diagnosis, and treatment of visual problems in children.

2152WS0006XEye and Vision Services ProvidersOptometristSports Vision4211MANo

Taxonomy Description: an optometrist who offers services designed to care for unique vision care needs of athletes, which may include one of more of the following services: corrective vision care unique to a specific sporting environment; protective eyewear for the prevention of sports-related injuries; vision enhancement - which may include vision therapy and techniques to improve visual skills specific to the athlete's sport.

3156FC0800XEye and Vision Services ProvidersTechnician/TechnologistContact Lens4211MANo

Taxonomy Description: an optician or other ancillary support staff person who, where authorized by state law and trained or certified to do so, may fit or dispense contact lenses to a patient based on the prescription of an optometrist or medical physician.

4156FC0801XEye and Vision Services ProvidersTechnician/TechnologistContact Lens Fitter4211MANo

Taxonomy Description: an optician or other ancillary support staff person who, where authorized by state law and trained or certified to do so, may fit or dispense contact lenses to a patient based on the prescription of an optometrist or medical physician.

5156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician6165MANo

Taxonomy Description:

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
0334570MEDICAID (05)MA
W17335MEDICARE PIN (08)MA

Other Providers at the same location


The following 8 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1023422722DR. MONIKA DEMBINSKA OD
Individual
Optometrist19 DUNSTER ST
CAMBRIDGE, MA 02138
(617) 354-5590
1235588187 AMY LEE RAYLA O.D.
Individual
Optometrist19 DUNSTER ST
CAMBRIDGE, MA 02138
(617) 354-5590
1588916597DR. JONATHAN RAYMOND PENA O.D.
Individual
Optometrist19 DUNSTER ST
CAMBRIDGE, MA 02138
(617) 354-5590
1629425632 TODD HANDEL
Individual
Technician/Technologist (Optician)19 DUNSTER ST
CAMBRIDGE, MA 02138
(617) 354-5590
1790874667MS. LAUREN DICKERMAN O.D.
Individual
Optometrist19 DUNSTER ST
CAMBRIDGE, MA 02138
(617) 354-5590
1881092666 JANE LAM O.D.
Individual
Optometrist19 DUNSTER ST
CAMBRIDGE, MA 02138
(617) 354-5590
1952774176 SAHAR ZELKHA O.D.
Individual
Optometrist19 DUNSTER ST
CAMBRIDGE, MA 02138
(617) 354-5590
1962523795DR. BRENDA CRONIN O.D.
Individual
Optometrist19 DUNSTER ST
CAMBRIDGE, MA 02138
(617) 354-5590

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.