CODMAN SQUARE HEALTH CENTER
NPI 1437328648
Optometrist in Dorchester, MA

NPI Status: Active since February 22, 2008

Contact Information

637 WASHINGTON STREET
DORCHESTER, MA
ZIP 02124
Phone: (617) 825-9660
Fax: (617) 288-7898

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  • Organization
  • Optometrist
  • Accepts Insurance
  • CLIA Number: 22D0666316
  • CLIA Cert. Type: Federally Qualified Health Center
  • CLIA Exp. Date: 11-17-2025

About CODMAN SQUARE HEALTH CENTER

This page provides the complete NPI Profile along with additional information for Codman Square Health Center, a provider established in Dorchester, Massachusetts operating as a Optometrist. The healthcare provider is registered in the NPI registry with number 1437328648 assigned on February 2008. The practitioner's primary taxonomy code is 152W00000X with license number 2748 (MA). The provider is registered as an organization and their NPI record was last updated 18 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Philip Severin Md (Medical Director)

NPI
1437328648
Provider Name
CODMAN SQUARE HEALTH CENTER
Entity Type
Organization
Location Address
637 WASHINGTON STREET DORCHESTER, MA 02124
Location Phone
(617) 825-9660
Location Fax
(617) 288-7898
Mailing Address
637 WASHINGTON STREET DORCHESTER, MA 02124
Mailing Phone
(617) 825-9660
Mailing Fax
(617) 288-7898
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
02-22-2008
Last Update Date
02-22-2008
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Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Optometrist

Taxonomy Code
152W00000X
Type
Eye and Vision Services Providers
License No.
2748
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Anthem Bronze Access Blue New England HMO 6000/20%/8000 w/HSA - HMO
  • Anthem Bronze Access Blue New England HMO 7000/50%/8000 w/HSA - HMO
  • Anthem Bronze Access Blue New England HMO 7500/30%/10000 Value - HMO
  • Anthem Bronze Access Blue New England HMO 8500/50%/9200 - HMO
  • Anthem Gold Access Blue New England HMO 1000/20%/7500 - HMO
  • Anthem Gold Access Blue New England HMO 2000/0%/6500 RxD - HMO
  • Anthem Gold Access Blue New England HMO 2000/10%/4600 w/HSA - HMO
  • Anthem Gold Access Blue New England HMO 2000/10%/7500 - HMO
  • Anthem Gold Access Blue New England HMO 2000/20%/4600 w/HSA - HMO
  • Anthem Gold Access Blue New England HMO 3000/0%/7500 RxD - HMO
  • Anthem Gold Access Blue New England HMO 500/30%/9000 - HMO
  • Anthem Platinum Access Blue New England HMO 250/10%/3500 - HMO
  • Anthem Silver Access Blue New England HMO 2500/30%/10000 Value - HMO
  • Anthem Silver Access Blue New England HMO 3000/30%/9000 Value - HMO
  • Anthem Silver Access Blue New England HMO 3500/20%/10000 - HMO
  • Anthem Silver Access Blue New England HMO 3500/20%/7250 w/HSA - HMO
  • Anthem Silver Access Blue New England HMO 4000/0%/9000 - HMO
  • Anthem Silver Access Blue New England HMO 4000/0%/9000 RxD - HMO
  • Anthem Silver Access Blue New England HMO 4000/10%/7250 w/HSA - HMO
  • Anthem Silver Access Blue New England HMO 4000/20%/8500 - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

PHILIP SEVERIN MD

Authorized Official Title
MEDICAL DIRECTOR
Authorized Official Phone
(617) 825-9660

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
22D0666316
Facility Type
Federally Qualified Health Center
Certificate Effective Date
November 18, 2023
Certificate Expiration Date
November 17, 2025
Laboratory Director
YACHANA KATARIA
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to Codman Square Health Center on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.

Reviews for CODMAN SQUARE HEALTH CENTER

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1437328648, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 72. The final step is to find the difference between that total and the next multiple of ten (80 - 72 = 8).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
4
Unchanged
Pos 3
3
Doubled → 6
Pos 4
7
Unchanged
Pos 5
3
Doubled → 6
Pos 6
2
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
6
Unchanged
Pos 9
4
Doubled → 8
Check
8
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 3 → 6 3 → 6 8 → 16 → 7 4 → 8

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 4 + 6 + 7 + 6 + 2 + 1 + 6 + 6 + 8 + 24 = 72

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 72 is 80. The difference is the calculated check digit.

80 - 72 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1437328648.

Other Providers at the Same Location


The following 16 providers are registered at the same or a nearby location.

Family Medicine
637 WASHINGTON STREET
DORCHESTER, MA 02124
Physician Assistant
637 WASHINGTON STREET
DORCHESTER, MA 02124
Oral & Maxillofacial Surgery
637 WASHINGTON STREET
DORCHESTER, MA 02124
Dietitian, Registered
637 WASHINGTON STREET, CODMAN SQUARE HEALTH CENTER
DORCHESTER, MA 02124
Social Worker
637 WASHINGTON STREET
DORCHESTER, MA 02124
Social Worker
637 WASHINGTON STREET
DORCHESTER, MA 02124
Dietitian, Registered
637 WASHINGTON STREET
DORCHESTER, MA 02124
Social Worker
637 WASHINGTON STREET
DORCHESTER, MA 02124
Social Worker
637 WASHINGTON STREET
DORCHESTER, MA 02124
Dentist
637 WASHINGTON STREET, DENTAL DEPT
DORCHESTER, MA 02124
Nurse Practitioner (Family)
637 WASHINGTON STREET
DORCHESTER, MA 02124
Social Worker
637 WASHINGTON STREET, CODMAN SQUARE HEALTH CENTER
DORCHESTER, MA 02124
Clinic/Center
637 WASHINGTON STREET
DORCHESTER, MA 02124
Family Medicine
637 WASHINGTON STREET
DORCHESTER, MA 02124
Clinic/Center (Urgent Care)
637 WASHINGTON STREET, URGENT CARE DEPARTMENT
DORCHESTER, MA 02124
Family Medicine
637 WASHINGTON STREET
DORCHESTER, MA 02124

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1437328648, enumerated as an "organization" on February 22, 2008.

The provider is located at 637 WASHINGTON STREET DORCHESTER, MA 02124 and the phone number is (617) 825-9660.

Optometrist with taxonomy code 152W00000X.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield. Please consult your insurance carrier or call the provider to verify.