1. Home
  2. Directory
  3. Massachusetts
  4. Jamaica Plain
  5. Optometrist
  6. NPI Profile

ANNE NICOLLE BERTOLET OD
NPI 1417484056
Optometrist in Jamaica Plain, MA

Active since May 14, 2017PECOS Enrolled
150 S HUNTINGTON AVE, JAMAICA PLAIN, MA 02130(617) 232-9500 Get Directions Write a Review

NPPES record last updated: June 1, 2020. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Jun 1, 2020, Nov 29, 2018, May 14, 2017 (3 updates tracked since 2017).

About Anne Nicolle Bertolet Od NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANNE NICOLLE BERTOLET OD (NPI 1417484056) is an individual optometrist in Jamaica Plain, Massachusetts, licensed in Pennsylvania (OEG003286) and active in the NPI registry since May 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417484056
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameANNE NICOLLE BERTOLETCredential: OD
Location Address150 S HUNTINGTON AVEJamaica Plain, MA 02130-4817
Mailing Address150 S Huntington Ave, Mail Code 112Boston, MA 02130 · (802) 881-9275
Phone(617) 232-9500
Sole ProprietorNo
Enumeration DateMay 14, 2017
Last NPPES UpdateJune 1, 20203 updates tracked since enumeration
NPPES CertifiedJune 1, 2020
✔ NPI 1417484056 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses✔ Licensed in PA · OEG003286✔ Licensed in MA · 5340
Definition
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.
150 S HUNTINGTON AVE, Jamaica Plain, MA 02130
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Anne Nicolle Bertolet Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02130 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$144.11 typical visit price
range $63.72 – $189.86
Typical copayment $36.02 (range $15.93 – $47.46)
Most-billed visit code 99204
Established Patient
$78.84 typical visit price
range $21.07 – $155.29
Typical copayment $19.71 (range $5.26 – $38.82)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. KAREN SUZANNE MITCHELL PHD
Psychologist (Clinical)
150 S HUNTINGTON AVE, 116B-3
BOSTON, MA 02130
Suffolk County (857) 364-2149
JENNA MARIE RENZULLI
Social Worker (Clinical)
150 S HUNTINGTON AVE
BOSTON, MA 02130
Suffolk County (617) 390-4872
TAYLOR LEIGH BROOKS PHD
Psychologist
150 S HUNTINGTON AVE
BOSTON, MA 02130
Suffolk County (857) 364-3189
DR. VALIA A BOOSALIS MD
Internal Medicine (Hematology & Oncology)
150 S HUNTINGTON AVE, IIIHO
BOSTON, MA 02130
Suffolk County (617) 232-9500
MS. RACHEL FAWN FURMAN R.N.
Registered Nurse
150 S HUNTINGTON AVE
BOSTON, MA 02130
Suffolk County (508) 649-1118
DR. KALYN ELIZABETH LAZAR PHARMD
Pharmacist
150 S HUNTINGTON AVE
BOSTON, MA 02130
Suffolk County (610) 217-0908
MRS. ELAINE MARIE FINNERAL LICSW
Social Worker (Clinical)
150 S HUNTINGTON AVE
BOSTON, MA 02130
Suffolk County (857) 364-5770
BARBARA L NILES PHD
Psychologist (Clinical)
150 S HUNTINGTON AVE, VA BOSTON HEALTHCARE SYSTEM
BOSTON, MA 02130
Suffolk County (857) 364-4128

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Anne Bertolet's NPI number?

The NPI number for Anne Bertolet is 1417484056. It was assigned to this individual provider in the NPPES registry on May 14, 2017.

Where is Anne Bertolet located?

Anne Bertolet practices at 150 S Huntington Ave, Jamaica Plain, MA 02130. The listed phone number is (617) 232-9500.

What is Anne Bertolet's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Anne Bertolet enrolled in Medicare?

Yes. Anne Bertolet is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Anne Bertolet was last updated on June 1, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.