KIMBERLEY W. CHAN (NPI# 1104908458) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1104908458 |
Entity Type | Individual |
Full Name | KIMBERLEY W. CHAN |
Credential | O.D. |
Practice Address |
243 Charles St Boston MA 02114-3002 |
Practice Telephone | 6175734169 |
Mailing Telephone | 6175734169 |
Enumeration Date | 2006-10-19 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 152WP0200X |
Optometrist Specialization: Pediatrics |
4522 | MA | Eye and Vision Services Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MA | BCBS PROVIDER ID | W16452 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588763585 | Kimberley Hoang Chan | Internal Medicine | 5100 W Goldleaf Cir Fl 2, Los Angeles, CA 90056-1658 | 2006-09-22 |
1891040663 | Kimberley Marie Chan | Dentist | 100 E Newton St, 7th Floor-room G716, Boston, MA 02118-2308 | 2012-07-18 |
Street Address |
243 CHARLES ST |
City | BOSTON |
State | MA |
Zip Code | 02114-3002 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538160452 | John M. Dobrowski | Otolaryngology | 243 Charles St, Boston, MA 02114-3002 | 2005-08-02 |
1275133829 | Caroline Burns | Registered Nurse | 243 Charles St, Boston, MA 02114-3002 | 2020-10-31 |
1831796440 | Jenna Goldstein | Audiologist | 243 Charles St, Boston, MA 02114-3002 | 2020-10-06 |
1700483336 | Eileen Lancaster | Audiologist | 243 Charles St, Boston, MA 02114-3002 | 2020-10-06 |
1104432913 | Adelia Witt | Audiologist | 243 Charles St, Boston, MA 02114-3002 | 2020-09-17 |
1063027084 | Emily M Kucher | Student in an Organized Health Care Education/Training Program | 243 Charles St, Boston, MA 02114-3002 | 2020-09-15 |
1144832007 | Zoe Stern | Registered Nurse | 243 Charles St, Boston, MA 02114-3002 | 2020-08-20 |
1265058085 | Elizabeth Chandler Smith | Audiologist | 243 Charles St, Boston, MA 02114-3002 | 2020-06-17 |
1801411244 | Emma Rose Alscher | Audiologist | 243 Charles St, Boston, MA 02114-3002 | 2020-06-11 |
1639792997 | Donna Evelyn Green | Audiologist | 243 Charles St, Boston, MA 02114-3002 | 2020-05-21 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588276281 | Guoliang Qiao | Student in an Organized Health Care Education/Training Program | Massachusetts General Hospital, 55 Fruit Street., Boston, MA 02114 | 2020-08-24 |
1881223741 | Alexander Wesley Zirulnik | Student in an Organized Health Care Education/Training Program | 55 Fruit St. Boston, Boston, MA 02114 | 2020-04-03 |
1376170548 | Mia Yu Bothwell | Student in an Organized Health Care Education/Training Program | Gray Bigelow 730, 55 Fruit Street, Boston, MA 02114 | 2020-03-26 |
1225661036 | David Dongkyung Kim | Student in an Organized Health Care Education/Training Program | 6 Whittier Place, Apartment 15b, Boston, MA 02114 | 2020-02-20 |
1124651658 | Madeleine Sertic | Student in an Organized Health Care Education/Training Program | Division of Abdominal Imaging, Department of Radiology, 55 Fruit Street, White 270, Boston, MA 02114 | 2020-02-12 |
1285274498 | Jiuk James Jung | Student in an Organized Health Care Education/Training Program | 15 Parkman Ave, Wang 4-460, Boston, MA 02114 | 2020-01-15 |
1831740448 | Jennifer Hughes | Physician Assistant | 55 Fruit Street, Founders 110, Boston, MA 02114 | 2019-09-25 |
1558827220 | Aluma Chovel Sella | Student in an Organized Health Care Education/Training Program | Massgeneral Hospital for Children Main Campus, 55 Fruit Street, Boston, MA 02114 | 2019-02-18 |
1083187140 | Henry Oliveras | Massage Therapist | 102 Charles Street, Boston, MA 02114 | 2019-01-10 |
1720550031 | Nicole M Price | Social Worker | 29 Staniford St, Boston, MA 02114 | 2018-12-27 |
Find all providers in zip 02114 |
Taxonomy Code | 152WP0200X |
Grouping | Eye and Vision Services Providers |
Classification | Optometrist |
Specialization | Pediatrics |
Optometrists who work in Pediatrics are concerned with the prevention, development, diagnosis, and treatment of visual problems in children. |
Notes: Source: American Optometric Association [1/1/2009: added definition, added source] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679098719 | Emily Katrina Wiecek | Optometrist | 930 Commonwealth Ave, Boston, MA 02215-1274 | 2017-08-10 |
1740699016 | Anna Kirillova | Optometrist | 300 Longwood Ave, Boston, MA 02115-5724 | 2014-08-11 |
1992811509 | Anna Maria Baglieri | Optometrist | 930 Commonwealth Ave Suite 2a, New England Eye Institute, Boston, MA 02215 | 2006-08-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699709691 | Pediatric Ophthalmic Associates, Inc. | Optometrist | 181 Concord St, Framingham, MA 01702-8305 | 2006-07-10 |
1255317830 | Anthony Joseph Foti | Optometrist | 200 Jefferson Rd, Suite 102, Wilmington, MA 01887-1963 | 2005-12-15 |
1659835528 | Damyanova Eye Associates | Optometrist | 427 Lynnway, Lynn, MA 01905-3028 | 2019-01-25 |
1003002155 | Harvard Square Eye Care P.C. | Optometrist | 19 Dunster St, Cambridge, MA 02138-5002 | 2007-09-22 |
1508076027 | Jennifer Hartzell Calnan | Optometrist | 19 Village Sq, Chelmsford, MA 01824-2712 | 2007-05-23 |
1164439824 | Amy Roan Moy | Optometrist | 75 Bickford St, Eye Clinic, Jamaica Plain, MA 02130-1401 | 2006-08-02 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.