HARVARD SQUARE EYE CARE P.C. NPI 1003002155
Optometrist in Cambridge, MA
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 13 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)
Harvard Square Eye Care P.c. is a medicare supplier with PTAN 7557840001 who accepts Medicare assignment for all durable medical equipment and supplies. The provider accepts the Medicare allowable as payment in full.The supplier carries the following product categories: Prosthetic Lenses: Conventional Contact Lenses or Prosthetic Lenses: Conventional Eyeglasses.
| NPI | 1003002155 |
| Provider Name | HARVARD SQUARE EYE CARE P.C. |
| Provider Location Address | 19 DUNSTER ST CAMBRIDGE, MA 02138 |
| Provider Mailing Address | 19 DUNSTER ST CAMBRIDGE, MA 02138 |
| NPI Entity Type | Organization |
| Is Sole Proprietor? | N/A |
| Is Organization Subpart? | No |
| Enumeration Date | 09-22-2007 |
| Last Update Date | 03-04-2008 |
Primary Taxonomy
| Taxonomy Code | 152W00000X |
| Classification | Optometrist |
| Type | Eye and Vision Services Providers |
| License No. | 4211 |
| License State | MA |
| Taxonomy Description | Doctors 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
Mailing Address
HARVARD SQUARE EYE CARE P.C.
19 DUNSTER ST
CAMBRIDGE, MA
ZIP 02138
Phone: (617) 354-5590
Medical Equipment Supplier
The provider carries the following medical supplies product categories:
| PTAN | 7557840001 |
| Accepts Medicare Assignment | YES |
| Specialities List | Optometrist. |
| Supplies List |
|
| Competitive Bidding | NO |
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 |
|---|---|---|---|---|---|---|---|
| 1 | 152WP0200X | Eye and Vision Services Providers | Optometrist | Pediatrics | 4211 | MA | No |
Taxonomy Description: optometrists who work in Pediatrics are concerned with the prevention, development, diagnosis, and treatment of visual problems in children. | |||||||
| 2 | 152WS0006X | Eye and Vision Services Providers | Optometrist | Sports Vision | 4211 | MA | No |
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. | |||||||
| 3 | 156FC0800X | Eye and Vision Services Providers | Technician/Technologist | Contact Lens | 4211 | MA | No |
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. | |||||||
| 4 | 156FC0801X | Eye and Vision Services Providers | Technician/Technologist | Contact Lens Fitter | 4211 | MA | No |
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. | |||||||
| 5 | 156FX1800X | Eye and Vision Services Providers | Technician/Technologist | Optician | 6165 | MA | No |
Taxonomy Description: Not Available | |||||||
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 |
|---|---|---|
| 0334570 | MEDICAID (05) | MA |
| W17335 | MEDICARE PIN (08) | MA |
Other Providers at the same location
The following 7 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1790874667 | MS. LAUREN DICKERMAN O.D. Individual | Optometrist | 19 DUNSTER ST CAMBRIDGE, MA 02138 (617) 354-5590 |
| 1962523795 | DR. BRENDA CRONIN O.D. Individual | Optometrist | 19 DUNSTER ST CAMBRIDGE, MA 02138 (617) 354-5590 |
| 1588916597 | DR. JONATHAN RAYMOND PENA O.D. Individual | Optometrist | 19 DUNSTER ST CAMBRIDGE, MA 02138 (617) 354-5590 |
| 1023422722 | DR. MONIKA DEMBINSKA OD Individual | Optometrist | 19 DUNSTER ST CAMBRIDGE, MA 02138 (617) 354-5590 |
| 1881092666 | JANE LAM O.D. Individual | Optometrist | 19 DUNSTER ST CAMBRIDGE, MA 02138 (617) 354-5590 |
| 1629425632 | TODD HANDEL Individual | Technician/Technologist (Optician) | 19 DUNSTER ST CAMBRIDGE, MA 02138 (617) 354-5590 |
| 1235588187 | AMY LEE CUOMO O.D. Individual | Optometrist | 19 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.