RETINA SPECIALISTS OF BOSTON AND WELLESLEY LLC
NPI 1790574739
Ophthalmology - Retina Specialist in Wellesley Hills, MA

Active since May 05, 2025
1 WASHINGTON ST STE 300, WELLESLEY HILLS, MA 02481(617) 256-7684 Get Directions Write a Review

NPPES record last updated: July 1, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jul 1, 2025, May 8, 2025 (2 updates tracked since 2025).

About Retina Specialists Of Boston And Wellesley Llc NPPES

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

RETINA SPECIALISTS OF BOSTON AND WELLESLEY LLC (NPI 1790574739) is a healthcare organization registered as a retina specialist in Wellesley Hills, Massachusetts and active in the NPI registry since May 2025. The organization maintains a secondary practice location in West Newton and lists Caroline Baumal, Owner, as its authorized official.

NPPES Registry Identity

NPI1790574739
Entity TypeOrganization
Primary Taxonomy207WX0107X
Legal Business NameRETINA SPECIALISTS OF BOSTON AND WELLESLEY LLC
Location Address1 WASHINGTON ST STE 300Wellesley Hills, MA 02481-1706
Mailing Address1 Washington St Ste 300Wellesley Hills, MA 02481-1706 · (617) 256-7684
Organization SubpartNo
Authorized OfficialCaroline BaumalOwner · (617) 256-7684
Enumeration DateMay 5, 2025
Last NPPES UpdateJuly 1, 20252 updates tracked since enumeration
NPPES CertifiedJuly 1, 2025
✔ NPI 1790574739 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmology · Retina SpecialistAllopathic & Osteopathic Physicians
Taxonomy Code207WX0107X
Definition
An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.
1 WASHINGTON ST STE 300, Wellesley Hills, MA 02481

Secondary Practice Location 1

Location 1326 Highland StWest Newton, MA 02465-2702 · Phone (617) 256-7684

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Retina Specialists Of Boston And Wellesley 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 Retina Specialists Of Boston And Wellesley LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Ophthalmology
NPI 1891759106
1 WASHINGTON ST STE 300
Wellesley Hills, MA 02481
(617) 256-7684
✔ PECOS✔ Accepts Medicare1.0 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 Retina Specialists Of Boston And Wellesley LLC's NPI number?

The NPI number for Retina Specialists Of Boston And Wellesley LLC is 1790574739. It was assigned to this organization in the NPPES registry on May 5, 2025.

Where is Retina Specialists Of Boston And Wellesley LLC located?

Retina Specialists Of Boston And Wellesley LLC is located at 1 Washington St Ste 300, Wellesley Hills, MA 02481. The listed phone number is (617) 256-7684.

What is Retina Specialists Of Boston And Wellesley LLC's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Retina Specialist, with taxonomy code 207WX0107X.

Is Retina Specialists Of Boston And Wellesley LLC enrolled in Medicare?

Yes. Retina Specialists Of Boston And Wellesley LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Retina Specialists Of Boston And Wellesley LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Ophthalmology) reassigns their Medicare billing to Retina Specialists Of Boston And Wellesley 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.

When was this NPI record last updated?

The NPPES record for Retina Specialists Of Boston And Wellesley LLC was last updated on July 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.