DR. EMILY KATRINA WIECEK (NPI# 1679098719) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679098719 |
| Entity Type | Individual |
| Full Name | DR. EMILY KATRINA WIECEK |
| Credential | OD, PHD |
| Practice Address |
930 Commonwealth Ave Boston MA 02215-1274 |
| Mailing Address |
530 Massachusetts Ave Apt 1a Boston MA 02118-1415 |
| Practice Telephone | 6172622020 |
| Enumeration Date | 2017-08-10 |
| Last Update Date | 2017-08-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152WP0200X |
Optometrist Specialization: Pediatrics |
5244 | MA | Eye and Vision Services Providers |
| Street Address |
930 COMMONWEALTH AVE |
| City | BOSTON |
| State | MA |
| Zip Code | 02215-1274 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184624082 | Jason R Chin | Optometrist | 930 Commonwealth Ave, Suite 2a New England Eye Commonwealth, Boston, MA 02215 | 2005-07-21 |
| 1124637723 | Madeline Wigon | Social Worker | 930 Commonwealth Ave, Boston, MA 02215-1274 | 2020-07-29 |
| 1225656861 | Roshani Gnanaseelan | Student in an Organized Health Care Education/Training Program | 930 Commonwealth Ave, Boston, MA 02215-1274 | 2020-07-09 |
| 1740804004 | Julie Phan | Student in an Organized Health Care Education/Training Program | 930 Commonwealth Ave, Boston, MA 02215-1274 | 2020-06-02 |
| 1063031334 | Jared Freedman | Optometrist | 930 Commonwealth Ave, Boston, MA 02215-1274 | 2020-04-15 |
| 1558913574 | Sandeep Kaur Bahugun | Student in an Organized Health Care Education/Training Program | 930 Commonwealth Ave, Boston, MA 02215-1274 | 2019-07-10 |
| 1942868666 | Kendra Phillis | Optometrist | 930 Commonwealth Ave, Boston, MA 02215-1274 | 2019-05-29 |
| 1790258648 | Emma De Jesus | Social Worker | 930 Commonwealth Ave, Boston, MA 02215-1274 | 2019-01-03 |
| 1366936734 | Tamanna Gandhi | Dentist | 930 Commonwealth Ave, Boston, MA 02215-1274 | 2018-06-19 |
| 1720597529 | Yuko Otsubo | Dentist | 930 Commonwealth Ave, Boston, MA 02215-1274 | 2017-09-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336746775 | Lee T Gernon-lakin | Physician Assistant | 202 Robinson Hall, 360 Huntington Ave, Boston, MA 02215 | 2020-10-08 |
| 1821695933 | Matthew John Needham | Student in an Organized Health Care Education/Training Program | 330 Brookline Ave, Yamins 2nd Floor, Department of Anesthesia, Boston, MA 02215 | 2020-10-02 |
| 1114533866 | Cdg Back Bay LLC | Clinic/Center | 400 Commonwealth Ave 3rd Floor, Boston, MA 02215 | 2020-09-18 |
| 1619595105 | Natasha Larocque | Radiology | 330 Brookline Avenue, Sherman 231, Beth Israel Deacones, Radiology Education Office, Boston, MA 02215 | 2020-07-10 |
| 1538783089 | Yutsz Cherng | Counselor | 870r Commonwealth Avenue, Boston, MA 02215 | 2020-06-01 |
| 1306495924 | Anthony Rosellini | Psychologist | 900 Commonwealth Avenue (east), 2nd Floor, Boston, MA 02215 | 2019-09-06 |
| 1427605278 | Liana Zucco | Student in an Organized Health Care Education/Training Program | Beth Israel Deaconess Medical Centre, Dept Anesthesia, 330 Brookline Ave, Ya-02q02, Boston, MA 02215 | 2019-08-26 |
| 1831759430 | Brian William Hayes | Radiology | 330 Brookline Avenue, Beth Israel Deaconess Medical Cen, Boston, MA 02215 | 2019-06-17 |
| 1396304358 | Elizabeth Hai Yen Du | Student in an Organized Health Care Education/Training Program | Beth Israel Deaconess Medical Center, Department of Rad, 330 Brookline Avenue, Boston, MA 02215 | 2019-06-12 |
| 1922665439 | Corey Shaphard Miller | Student in an Organized Health Care Education/Training Program | 300 Brookline Avenue, Bidmc, Dana 501, Boston, MA 02215 | 2019-05-21 |
| Find all providers in zip 02215 | ||||
| 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 |
|---|---|---|---|---|
| 1740699016 | Anna Kirillova | Optometrist | 300 Longwood Ave, Boston, MA 02115-5724 | 2014-08-11 |
| 1104908458 | Kimberley W. Chan | Optometrist | 243 Charles St, Boston, MA 02114-3002 | 2006-10-19 |
| 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.