Childrens Hospital Ophthalmology Foundation Inc | |
300 Longwood Avenue, Fegan 4, Boston, MA 02115 | |
(617) 355-6401 | |
(617) 730-0392 |
Full Name | Childrens Hospital Ophthalmology Foundation Inc |
---|---|
Type | Facility |
Speciality | Ophthalmology |
Location | 300 Longwood Avenue, Boston, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1770679045 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Secondary |
207W00000X | Ophthalmology | (* (Not Available)) | Primary |
Provider Name | Amy R. Moy |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1164439824 PECOS PAC ID: 0345210159 Enrollment ID: I20040729000196 |
Provider Name | Kathryn B Miller |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1134219199 PECOS PAC ID: 9133180664 Enrollment ID: I20041019000858 |
Provider Name | Carolyn S Wu |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1073603072 PECOS PAC ID: 2163475500 Enrollment ID: I20050225000509 |
Provider Name | Lois E Smith |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1639269616 PECOS PAC ID: 5193769545 Enrollment ID: I20050616000068 |
Provider Name | Kimberley W Chan |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1104908458 PECOS PAC ID: 4183658339 Enrollment ID: I20051004000535 |
Provider Name | Anna Baglieri |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1992811509 PECOS PAC ID: 0446278931 Enrollment ID: I20051103000184 |
Provider Name | Danielle Ledoux |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1528085982 PECOS PAC ID: 5294766754 Enrollment ID: I20070418000391 |
Provider Name | Jeffrey A Sorkin |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1639248305 PECOS PAC ID: 4284712159 Enrollment ID: I20080417000059 |
Provider Name | Joyce Chien |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1093787566 PECOS PAC ID: 3870541071 Enrollment ID: I20090304000069 |
Provider Name | Suzanne C Johnston |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1689796682 PECOS PAC ID: 8628141454 Enrollment ID: I20090406000070 |
Provider Name | Gena Heidary |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1972651206 PECOS PAC ID: 8628125358 Enrollment ID: I20090414000697 |
Provider Name | Alexandra T Elliott |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1407962905 PECOS PAC ID: 4486639176 Enrollment ID: I20090513000596 |
Provider Name | Ankoor S Shah |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1528122819 PECOS PAC ID: 2163573551 Enrollment ID: I20090624000676 |
Provider Name | Iason Mantagos |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1720255482 PECOS PAC ID: 2567513864 Enrollment ID: I20090626000251 |
Provider Name | Aisha Sarah Traish |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1689738205 PECOS PAC ID: 6901958453 Enrollment ID: I20090715000284 |
Provider Name | Melanie A Kazlas |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1487638680 PECOS PAC ID: 5799820098 Enrollment ID: I20100310000634 |
Provider Name | Anne B Fulton |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1194815191 PECOS PAC ID: 2466628839 Enrollment ID: I20120106000062 |
Provider Name | Linda R Dagi |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1376631432 PECOS PAC ID: 5991971368 Enrollment ID: I20120106000090 |
Provider Name | David G Hunter |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1659461663 PECOS PAC ID: 3971564345 Enrollment ID: I20120204000000 |
Provider Name | Deborah K Vanderveen |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1952491953 PECOS PAC ID: 2769640028 Enrollment ID: I20120216000466 |
Provider Name | Mary C Whitman |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1174767479 PECOS PAC ID: 4981848066 Enrollment ID: I20130910000972 |
Provider Name | Bharti K Gangwani |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1427286194 PECOS PAC ID: 0749424190 Enrollment ID: I20130925000146 |
Provider Name | Aparna Raghuram |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1053560706 PECOS PAC ID: 7113152794 Enrollment ID: I20131107000691 |
Provider Name | Anna Kirillova |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1740699016 PECOS PAC ID: 5294047270 Enrollment ID: I20150706000155 |
Provider Name | Preeti L Mokka |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1124412465 PECOS PAC ID: 9830407865 Enrollment ID: I20150924001876 |
Provider Name | Maan S. Alkharashi |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1003290065 PECOS PAC ID: 7810293099 Enrollment ID: I20160315000655 |
Provider Name | Eric D Gaier |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1134568199 PECOS PAC ID: 3274757109 Enrollment ID: I20170803003157 |
Provider Name | Jose Efren Gonzalez Monroy |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1508159583 PECOS PAC ID: 4981823515 Enrollment ID: I20170913000428 |
Provider Name | Jae Young You |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1518250679 PECOS PAC ID: 1355560145 Enrollment ID: I20170920001360 |
Provider Name | Emily K Wiecek |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1679098719 PECOS PAC ID: 3476810219 Enrollment ID: I20171201002651 |
Provider Name | Eric A Moulton |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1669912283 PECOS PAC ID: 1254695620 Enrollment ID: I20180511000135 |
Provider Name | Ryan Andrew Gise |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1417214107 PECOS PAC ID: 7214284678 Enrollment ID: I20180717003044 |
Provider Name | Thomas Dohlman |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1174938120 PECOS PAC ID: 5193072221 Enrollment ID: I20180720001600 |
Provider Name | Erin Halley Stockman |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1811464837 PECOS PAC ID: 4486991742 Enrollment ID: I20190124000260 |
Provider Name | Christina Scelfo |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1548655061 PECOS PAC ID: 9931494044 Enrollment ID: I20190517001215 |
Provider Name | Joseph F Griffith |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1376807305 PECOS PAC ID: 8426358474 Enrollment ID: I20190708002250 |
Provider Name | Edith R Reshef |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1215381363 PECOS PAC ID: 8527358100 Enrollment ID: I20200604000427 |
Provider Name | Isdin Oke |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1811346588 PECOS PAC ID: 3678849833 Enrollment ID: I20200609000794 |
Provider Name | Daniel M Vu |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1336535020 PECOS PAC ID: 1951693753 Enrollment ID: I20200909001765 |
Provider Name | Nimesh Patel |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1083029763 PECOS PAC ID: 9537403340 Enrollment ID: I20200910002923 |
Provider Name | Alexander K Young |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1295114775 PECOS PAC ID: 8224448519 Enrollment ID: I20201027001576 |
Provider Name | Jenny C Dohlman |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1639600257 PECOS PAC ID: 7416226964 Enrollment ID: I20210513000249 |
Provider Name | Marguerite Cullen Weinert |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1528596509 PECOS PAC ID: 5193097855 Enrollment ID: I20210622001202 |
Provider Name | Joseph Anaya |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1285154500 PECOS PAC ID: 4183978828 Enrollment ID: I20210813001698 |
Provider Name | Tiffany A Chen |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1003310673 PECOS PAC ID: 3678986478 Enrollment ID: I20220520002273 |
Provider Name | Leyla Karim |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1316515919 PECOS PAC ID: 1456758739 Enrollment ID: I20220606001869 |
Provider Name | Shravan Savant |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1932605250 PECOS PAC ID: 7416288212 Enrollment ID: I20220707002935 |
Provider Name | Pablo Andres Altschwager Kreft |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1023425832 PECOS PAC ID: 0749663573 Enrollment ID: I20220811002024 |
Provider Name | Lauren E Butler |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1548990534 PECOS PAC ID: 1355719857 Enrollment ID: I20221114002627 |
Provider Name | Baha Eddin El Khatib |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1417481946 PECOS PAC ID: 4789087370 Enrollment ID: I20230516002437 |
Provider Name | Lindsay D Imber |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1629637236 PECOS PAC ID: 4183951163 Enrollment ID: I20230601000380 |
Provider Name | Michael Nguyen |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1538865480 PECOS PAC ID: 9830544089 Enrollment ID: I20231009002441 |
Provider Name | Sardar Mohammad Ali Ayaz Sadiq |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1891058590 PECOS PAC ID: 6901255371 Enrollment ID: I20231211001146 |
Mailing Address | Practice Location Address |
---|---|
Childrens Hospital Ophthalmology Foundation Inc 300 Longwood Avenue, Fegan 4, Boston, MA 02115 Ph: (617) 355-6405 | Childrens Hospital Ophthalmology Foundation Inc 300 Longwood Avenue, Fegan 4, Boston, MA 02115 Ph: (617) 355-6401 |