DR. ELAINE ICBAN O.D.
NPI 1609814177
Optometrist in Boston, MA

Active since June 04, 2006PECOS EnrolledAccepts Medicare Assignment
4199 WASHINGTON ST, SUITE 2, BOSTON, MA 02131(617) 587-5520(617) 587-5521 Get Directions Write a Review

NPPES record last updated: March 5, 2009. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Elaine Icban O.d. NPPES

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

DR. ELAINE ICBAN O.D. (NPI 1609814177) is an individual optometrist in Boston, Massachusetts, licensed in Massachusetts (4677) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS and is a graduate of University Of California - School Of Optometry (2005).

NPPES Registry Identity

NPI1609814177
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. ELAINE ICBANCredential: O.D.
Location Address4199 WASHINGTON ST, SUITE 2Boston, MA 02131-1733
Mailing Address930 Commonwealth Ave, Suite 2aBoston, MA 02215-1274 · (617) 587-5511 · Fax (617) 587-5514
Fax(617) 587-5521
Sole ProprietorNo
Medical School CMSUniversity Of California - School Of OptometryGraduated 2005
Enumeration DateJune 4, 2006
Last NPPES UpdateMarch 5, 2009
NPI 1609814177 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 · 4677
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.

4199 WASHINGTON ST, Boston, MA 02131

Other Identifiers 4

Other95191001MA · Network Health
Other7733882MA · Aetna
OtherAA131399MA · Harvard Pilgrim
Other2988926MA · United Health Care

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Elaine Icban O.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4385645456
PECOS Enrollment IDI20090327000039
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 02131 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.

Family Medicine
4199 WASHINGTON ST
ROSLINDALE, MA 02131
Pediatrics
4199 WASHINGTON ST
ROSLINDALE, MA 02131
Family Medicine
4199 WASHINGTON ST
ROSLINDALE, MA 02131
Dentist
4199 WASHINGTON ST
ROSLINDALE, MA 02131
Dentist
4199 WASHINGTON ST
ROSLINDALE, MA 02131
Registered Nurse
4199 WASHINGTON ST
ROSLINDALE, MA 02131
Dietitian, Registered
4199 WASHINGTON ST
ROSLINDALE, MA 02131
Nurse Practitioner (Pediatrics)
4199 WASHINGTON ST
ROSLINDALE, MA 02131

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1609814177, enumerated as an "individual" on June 04, 2006.

The provider is located at 4199 WASHINGTON ST SUITE 2 BOSTON, MA 02131 and the phone number is (617) 587-5520.

Optometrist with taxonomy code 152W00000X.

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