BOSTON LASER MEDFORD LLC (NPI# 1558717249) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558717249 |
| Entity Type | Organization |
| Organization Name | BOSTON LASER MEDFORD LLC |
| Practice Address |
92 High St Unit T31 Medford MA 02155-3850 |
| Mailing Address |
1101 Beacon St Suite 6w Brookline MA 02446-5587 |
| Practice Telephone | 7813964010 |
| Mailing Telephone | 6175660062 |
| Enumeration Date | 2016-05-11 |
| Last Update Date | 2016-05-11 |
| Authorized Official Name | SAMIR MELKI (OWNER) |
| Authorized Official Telephone | 6175660062 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 152W00000X | Optometrist | Eye and Vision Services Providers | ||
| Y | 207W00000X | Ophthalmology | Allopathic & Osteopathic Physicians |
| Street Address |
92 HIGH ST UNIT T31 |
| City | MEDFORD |
| State | MA |
| Zip Code | 02155-3850 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669462867 | Elizabeth Keating-cohen | Psychologist | 92 High St, Suite Dh-7, Medford, MA 02155-3850 | 2005-10-27 |
| 1477115855 | Leza M. Sarrouf, Licsw, LLC | Social Worker | 92 High St, Medford, MA 02155-3850 | 2019-07-05 |
| 1679013569 | Dr. Richard A Short Dmd, Dr. Ronni Ann Schnell Dmd | Dentist | 92 High St, Suite Dh 11-12, Medford, MA 02155-3850 | 2017-02-27 |
| 1538614367 | Boston Laser Eye Institute- Winchester LLC | Optometrist | 92 High St, Unit T31, Medford, MA 02155-3850 | 2016-08-22 |
| 1790112670 | Winchester Physician Associates | Family Medicine | 92 High St, Suite Dh4, Medford, MA 02155-3850 | 2013-10-09 |
| 1972939890 | Brain Care Specialists PC | Psychiatry & Neurology | 92 High St, 4th Floor, Medford, MA 02155 | 2013-09-24 |
| 1700142601 | Psychological Associates | Social Worker | 92 High St, Dh7, Medford, MA 02155-3850 | 2012-04-04 |
| 1932345220 | Mystic Valley Chiropractic Office, P.C. | Chiropractor | 92 High St, Suite 41, Medford, MA 02155-3850 | 2008-12-17 |
| 1720252083 | Timothy Francis Mccarthy | Counselor | 92 High St, Medford, MA 02155-3850 | 2008-04-17 |
| 1861665390 | Armory Dental Implant & Oral Surgery | Clinic/Center | 92 High St, Dh26, Medford, MA 02155-3850 | 2008-04-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679113922 | Elena Chapman | Nurse Practitioner | 293 Salem St 4, Medford, MA 02155 | 2020-01-14 |
| 1922658830 | Michelle Anne Zona | Counselor | 100 George Hassett Dr, Medford, MA 02155 | 2019-09-13 |
| 1487138509 | Dava Davainis | Social Worker | 76 Newbern Avenue, Apt. 1, Medford, MA 02155 | 2018-09-25 |
| 1265915128 | Erin Roberts | Counselor | Medford Public Schools, 3002 Mystic Valley Pkwy, Medford, MA 02155 | 2018-09-07 |
| 1871075739 | Janice Madeline Cole | Social Worker | 3820 Mystic Valley Pkwy Unit 805, Medford, MA 02155 | 2018-09-06 |
| 1447732573 | Mystick Women's Health, Inc. | Obstetrics & Gynecology | 13 Bradlee Road, Medford, MA 02155 | 2018-09-05 |
| 1144713090 | Laura Rogers | Psychologist | 203 Paige Hall, 12 Upper Campus Road, Medford, MA 02155 | 2018-06-14 |
| 1871086694 | Shuo Yang | Dentist | 8 9th St Apt 310, Medford, MA 02155 | 2018-06-07 |
| 1891287108 | Xuhua Qin | Psychologist | 120 Curtis Street, Medford, MA 02155 | 2018-06-01 |
| 1568953529 | Cvs Pharmacy, Inc. | Durable Medical Equipment & Medical Supplies | 471 Salem St, Medford, MA 02155 | 2018-05-25 |
| Find all providers in zip 02155 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083170047 | Gilbertlahey LLC | Ophthalmology | 101 Main St Ste 208, Medford, MA 02155-4530 | 2019-02-14 |
| 1033445036 | Greg George Schoofs II | Ophthalmology | N 4803 Wigwam Ave, Medford, WI 54451 | 2009-10-26 |
| 1245371129 | Carl Franklin Hyder | Ophthalmology | 73 South Main Street, Medford, NJ 08055 | 2007-02-12 |
| 1609913219 | Cataract and Laser Institute of Southern Oregon PC | Ophthalmology | 1408 E. Barnett Rd, Medford, OR 97504 | 2007-01-31 |
| 1124120811 | Cheryl Marie Mitchell | Ophthalmology | 128 Route 70 Ste 16b, Medford, NJ 08055-2371 | 2006-09-02 |
| 1285656124 | Karen Fung Dante | Ophthalmology | 73 S Main St, Medford, NJ 08055-2430 | 2006-07-23 |
| 1811962400 | Jeffrey S Rinkoff | Ophthalmology | 748 State St, Medford, OR 97504-8473 | 2006-02-17 |
| 1285617936 | Eye Clinic of Wisconsin, S.c. | Ophthalmology | 101 S Gibson St, Medford, WI 54451-1622 | 2005-11-28 |
| 1265413934 | Paul Norman Schultz | Ophthalmology | 1408 E Barnett Rd, Medford, OR 97504-8279 | 2005-11-09 |
| 1528052271 | John G Apostol | Ophthalmology | 815 E Main St, Medford, OR 97504-7133 | 2005-09-08 |
| Find all providers in MEDFORD | ||||
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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.