IRA ROBERT BOURNE (NPI# 1356311062) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356311062 |
| Entity Type | Individual |
| Full Name | IRA ROBERT BOURNE |
| Credential | OD |
| Practice Address |
31 St. James Ave Suite 135 Boston MA 02116 |
| Mailing Address |
505 Tremont St Apt 210 Boston MA 02116-6398 |
| Practice Telephone | 6174266277 |
| Practice Fax Number | 6174261251 |
| Enumeration Date | 2006-01-25 |
| Last Update Date | 2009-02-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 2241 | MA | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | BC/BS | W15325 | 01 |
| MA | 0301655 | 05 | |
| MA | HARVARD PILGRIM | AA211 | 01 |
| MA | EYE MED | MA2241 | 01 |
| Street Address |
31 ST. JAMES AVE SUITE 135 |
| City | BOSTON |
| State | MA |
| Zip Code | 02116 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104439272 | Dennis Lau | Pharmacist | 21-23 Stanhope St., Boston, MA 02116 | 2020-08-28 |
| 1184199457 | Padideh Mohammad Alizadeh Chafjiri | Dentist | 62 Baylston Street Apt 801, Boston, MA 02116 | 2018-10-12 |
| 1114407467 | Marissa Shallcross | Social Worker | 120 Boylston Street, Boston, MA 02116 | 2018-08-16 |
| 1245732825 | Rachel Klein | Social Worker | 39 Boylston Street, Boston, MA 02116 | 2018-02-28 |
| 1447759691 | Yintuition Wellness, Pllc | Acupuncturist | 551 Boylston St., Suite 4, Boston, MA 02116 | 2018-02-02 |
| 1104324094 | Anne Vinick | Social Worker | The Community Builders, 185 Dartmouth Street 9th Floor, Boston, MA 02116 | 2018-01-25 |
| 1982117743 | Cassandra Xanthos | Social Worker | Tca Counseling, 262 Beacon St. 2nd Floor, Boston, MA 02116 | 2017-11-14 |
| 1255859757 | Carolyn Jamie Kussmaul | Physician Assistant | 216 Beacon Street Apt 1, Boston, MA 02116 | 2017-09-05 |
| 1215472634 | Chantel Castro | Counselor | 8 Yarmouth Place Apt #2, Boston, MA 02116 | 2016-12-20 |
| 1336598598 | Nicole Savina Rittershaus | Pediatrics | 354 Tremont Street, Boston, MA 02116 | 2016-06-08 |
| Find all providers in zip 02116 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| 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. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790314557 | Kirsten Brady | Optometrist | 10 Fairfield St Apt 3, Boston, MA 02116-1666 | 2020-04-03 |
| 1922647403 | Claudia Christine Evans | Optometrist | 8 Gloucester St, Boston, MA 02115-1720 | 2019-12-31 |
| 1437790813 | Arianna Yoshiko Jordan | Optometrist | 83 Newbury St Ste 3, Boston, MA 02116-3284 | 2019-10-07 |
| 1528628625 | Molly Jean Admire | Optometrist | 31 Saint James Ave Ste 135, Boston, MA 02116-4101 | 2019-06-19 |
| 1770097040 | Doug Haigh Eye Care LLC | Optometrist | 588 E 7th St, Boston, MA 02127-4224 | 2017-11-25 |
| 1487108585 | Alina Reznik | Optometrist | 33 Arch St Fl 16, Boston, MA 02110-1424 | 2016-08-08 |
| 1417326182 | Darryl Grace & Associates PC | Optometrist | 101 Arch St, Cohen's Fashion Optical, Boston, MA 02110-1130 | 2015-09-23 |
| 1437535895 | Xueling Song | Optometrist | 155 Federal St # 150, Boston, MA 02110-1727 | 2015-08-07 |
| 1699165357 | Azadeh Kelly | Optometrist | 33 Broad St Lbby 2, Boston, MA 02109-4229 | 2015-02-02 |
| 1164825428 | Rachel Bates | Optometrist | 513 Beacon St, Apt 10, Boston, MA 02215-2309 | 2014-10-01 |
| Find all providers in BOSTON | ||||
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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.