KATELYN SONG EYE CARE LLC
NPI 1508362419
Optometrist in Jamaica Plain, MA

Q: What is Katelyn Song Eye Care LLC's NPI number?

The NPI number for Katelyn Song Eye Care LLC is 1508362419. It was assigned to this organization in the NPPES registry on April 2, 2018.

Q: What is Katelyn Song Eye Care LLC's specialty?

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

Active since April 02, 2018

753 CENTRE ST, JAMAICA PLAIN, MA 02130(617) 522-3443 Get Directions Write a Review

NPPES record last updated: April 2, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Katelyn Song Eye Care Llc NPPES

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

KATELYN SONG EYE CARE LLC (NPI 1508362419) is a healthcare organization registered as an optometrist in Jamaica Plain, Massachusetts and active in the NPI registry since April 2018. The organization lists Xueling Song, Optometrist, as its authorized official.

NPPES Registry Identity

NPI1508362419

Entity TypeOrganization

Primary Taxonomy152W00000X

Legal Business NameKATELYN SONG EYE CARE LLC

Location Address753 CENTRE STJamaica Plain, MA 02130-2520

Mailing Address1175 Chestnut St Apt 18Newton, MA 02464-1341

Phone(617) 522-3443

Organization SubpartNo

Authorized OfficialXueling SongOptometrist · (908) 279-4483

Enumeration DateApril 2, 2018

✔ NPI 1508362419 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in MA · 5121

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.

753 CENTRE ST, Jamaica Plain, MA 02130

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Katelyn Song Eye Care Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Katelyn Song Eye Care LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Xueling Song, D.O

Optometry

NPI 1437535895

155 FEDERAL ST # 150
Boston, MA 02110

(617) 261-1813

✔ PECOS✔ Accepts Medicare4.2 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Katelyn Song Eye Care LLC's NPI number?

The NPI number for Katelyn Song Eye Care LLC is 1508362419. It was assigned to this organization in the NPPES registry on April 2, 2018.

Where is Katelyn Song Eye Care LLC located?

Katelyn Song Eye Care LLC is located at 753 Centre St, Jamaica Plain, MA 02130. The listed phone number is (617) 522-3443.

What is Katelyn Song Eye Care LLC's specialty?

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

Is Katelyn Song Eye Care LLC enrolled in Medicare?

Yes. Katelyn Song Eye Care LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Katelyn Song Eye Care LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to Katelyn Song Eye Care LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Katelyn Song Eye Care LLC accept?

Health plans from Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Katelyn Song Eye Care LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Katelyn Song Eye Care LLC was last updated on April 2, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.