BOSTON EYE SURGERY & LASER CENTER TRUST
NPI 1639215502
Clinic/Center - Ambulatory Surgical in Waltham, MA

Active since January 29, 2007CLIA 22D1057772 · Waiver
195 WEST ST FL 2, WALTHAM, MA 02451(781) 768-5590(781) 487-5717 Get Directions Write a Review

NPPES record last updated: November 6, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 6, 2025, Aug 6, 2021 (2 updates tracked since 2021).

About Boston Eye Surgery & Laser Center Trust NPPES

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

BOSTON EYE SURGERY & LASER CENTER TRUST (NPI 1639215502), doing business as Boston Eye Surgery & Laser Center, is a healthcare organization registered as an ambulatory surgical in Waltham, Massachusetts and active in the NPI registry since January 2007. The organization holds a CLIA Waiver certificate valid through August 21, 2026 and lists Suzanne Mcdermott, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1639215502
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameBOSTON EYE SURGERY & LASER CENTER TRUST
Location Address195 WEST ST FL 2Waltham, MA 02451-1111
Mailing AddressPo Box 4175Woburn, MA 01888-4175 · (781) 768-5590 · Fax (781) 487-5717
Fax(781) 487-5717
Organization SubpartNo
Authorized OfficialSuzanne McdermottAuthorized Official · (617) 314-2672
Enumeration DateJanuary 29, 2007
Last NPPES UpdateNovember 6, 20252 updates tracked since enumeration
NPPES CertifiedNovember 6, 2025
NPI 1639215502 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
195 WEST ST FL 2, Waltham, MA 02451

Other Names 1

Doing Business AsBoston Eye Surgery & Laser Center

Other Identifiers 1

Medicaid110031506BMA

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 22D1057772

Boston Eye Surgery And Laser Center - West · Waltham, MA
Active · expires Aug 21, 2026
CLIA Number22D1057772
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateAugust 22, 2024
Certificate Expiration DateAugust 21, 2026
Laboratory DirectorTom C. Hsu
Laboratory Phone(781) 768-5590
Laboratory LocationBoston Eye Surgery And Laser Center - West195 West St 2nd Floor, Waltham, MA 02451
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 13

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
1,967 services1,285 patients
Removal of recurring cataract in lens capsule using a laser 66821
This procedure, known as YAG laser capsulotomy, treats cloudiness in the lens capsule following cataract surgery. A laser is used to create a small hole in the cloudy capsule, allowing light to pass through and restore clear vision. It's a quick, painless procedure.
461 services364 patients
Complex removal of cataract with insertion of prosthetic lens 66982
This procedure involves removing a cloudy lens (cataract) from your eye and replacing it with a clear, artificial lens. It helps restore vision that has been affected by the cataract. The operation is usually done under local anesthesia.
263 services191 patients
Laser repair to improve eye fluid flow 65855
Laser repair to improve eye fluid flow is a procedure aimed at treating glaucoma. A laser is used to create a small hole in the eye's drainage system, allowing fluid to flow out more easily. This helps to lower the pressure inside the eye, reducing the risk of vision loss.
148 services102 patients
Incision to improve eye fluid flow 65820
This procedure, known as a trabeculectomy, involves creating a small opening in the eye to improve fluid flow. This can help lower eye pressure in conditions like glaucoma. It's a common, safe procedure to protect your eye health.
62 services41 patients
Creation of eye fluid drainage tracts in iris using a laser, per session 66761
This procedure uses a laser to create small drainage tracts in the iris, the colored part of your eye. This helps excess fluid escape, reducing pressure in the eye that can cause glaucoma. It's performed in sessions.
50 services28 patients

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 Boston Eye Surgery & Laser Center Trust's NPI number?

The NPI number for Boston Eye Surgery & Laser Center Trust is 1639215502. It was assigned to this organization in the NPPES registry on January 29, 2007.

Where is Boston Eye Surgery & Laser Center Trust located?

Boston Eye Surgery & Laser Center Trust is located at 195 West St Fl 2, Waltham, MA 02451. The listed phone number is (781) 768-5590.

What is Boston Eye Surgery & Laser Center Trust's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Boston Eye Surgery & Laser Center Trust hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 22D1057772) is associated with this NPI, valid through August 21, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Boston Eye Surgery & Laser Center Trust accept?

Health plans from Anthem Blue Cross and Blue Shield list Boston Eye Surgery & Laser Center Trust 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 Boston Eye Surgery & Laser Center Trust was last updated on November 6, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.