NORTHEAST OPTOMETRY LLC
NPI 1922732684
Optometrist in Arlington, MA

Q: What is Northeast Optometry LLC's NPI number?

The NPI number for Northeast Optometry LLC is 1922732684. It was assigned to this organization in the NPPES registry on July 10, 2022.

Q: What is Northeast Optometry LLC's specialty?

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

Active since July 10, 2022CLIA 22D2303707 · Waiver

60 MASSACHUSETTS AVE, ARLINGTON, MA 02474(781) 316-0141(781) 394-6107 Get Directions Write a Review

NPPES record last updated: November 12, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 12, 2024, Jul 10, 2022 (2 updates tracked since 2022).

On this page

About Northeast Optometry Llc NPPES

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

NORTHEAST OPTOMETRY LLC (NPI 1922732684) is a healthcare organization registered as an optometrist in Arlington, Massachusetts and active in the NPI registry since July 2022. The organization holds a CLIA Waiver certificate valid through April 29, 2028 and lists Josephine Ko, President, as its authorized official.

NPPES Registry Identity

NPI1922732684

Entity TypeOrganization

Primary Taxonomy152W00000X

Legal Business NameNORTHEAST OPTOMETRY LLC

Location Address60 MASSACHUSETTS AVEArlington, MA 02474-8621

Mailing Address539 Clinton RdChestnut Hill, MA 02467-1418 · Fax (617) 232-2279

Phone(781) 316-0141

Fax(781) 394-6107

Organization SubpartNo

Authorized OfficialJosephine KoPresident · (781) 316-0141

Enumeration DateJuly 10, 2022

Last NPPES UpdateNovember 12, 20242 updates tracked since enumeration

NPPES CertifiedNovember 12, 2024

✔ NPI 1922732684 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

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.

60 MASSACHUSETTS AVE, Arlington, MA 02474

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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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Northeast Optometry 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 Northeast Optometry LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Josephine Ko, OD

Optometry

NPI 1053934935

60 MASSACHUSETTS AVE
Arlington, MA 02474

(781) 316-0141

✔ PECOS✔ Accepts MedicareSame address

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

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 22D2303707

Northeast Optometry, LLC · Arlington, MA

Active · expires Apr 29, 2028

CLIA Number22D2303707

Laboratory TypePhysician Office

Certificate Effective DateApril 30, 2026

Certificate Expiration DateApril 29, 2028

Laboratory DirectorJosephine W. Ko

Laboratory Phone(781) 316-0141

Laboratory LocationNortheast Optometry, LLC60 Massachusetts Ave, Arlington, MA 02474

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

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 Northeast Optometry LLC's NPI number?

The NPI number for Northeast Optometry LLC is 1922732684. It was assigned to this organization in the NPPES registry on July 10, 2022.

Where is Northeast Optometry LLC located?

Northeast Optometry LLC is located at 60 Massachusetts Ave, Arlington, MA 02474. The listed phone number is (781) 316-0141.

What is Northeast Optometry LLC's specialty?

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

Is Northeast Optometry LLC enrolled in Medicare?

Yes. Northeast Optometry LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Northeast Optometry LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to Northeast Optometry 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.

Does Northeast Optometry LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 22D2303707) is associated with this NPI, valid through April 29, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Northeast Optometry LLC was last updated on November 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.