PATTI A LANDRY


Address: 77 Mass Ave, Medical E23-395, Cambridge, MA 02139-4301
Phone: 6172534351

PATTI A LANDRY (NPI# 1689647232) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1689647232
Entity Type Individual
Full Name PATTI A LANDRY
Credential OD
Practice Address 77 Mass Ave
Medical E23-395
Cambridge
MA 02139-4301
Mailing Address Po Box 425789
Medical E23-395
Cambridge
MA 02142-0015
Practice Telephone 6172534351
Mailing Telephone 6172534351
Enumeration Date 2006-02-13
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor X

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 152W00000X Optometrist 3069 MA Eye and Vision Services Providers

Other Provider Identifier

State Issuer Identifier Type Code
MA BLUE CROSS W15805 01

Office Location

Street Address 77 MASS AVE
MEDICAL E23-395
City CAMBRIDGE
State MA
Zip Code 02139-4301

Providers in the same location

NPI Name Taxonomy Address Enumeration
1316934581 Jocelyn Oriana Joseph Pediatrics 77 Mass Ave, Bldg E23-193, Cambridge, MA 02139-4301 2005-10-04
1285876532 Amy Lynn Zisa Pediatrics 77 Mass Ave, Bldg. E23-193, Cambridge, MA 02139 2009-04-01
1316982002 Xiaolu Hsi Psychologist 77 Mass Ave, E23-395, Cambridge, MA 02139-4301 2006-06-18
1861469397 Elinor M Nugent Nurse Practitioner 77 Mass Ave, Medical E23, Cambridge, MA 02139-4301 2006-03-03
1598731143 George M Taylor Physician Assistant 77 Mass Ave, Medical E23-395, Cambridge, MA 02139-4301 2006-02-24
1265408066 Bina Patel Psychiatry & Neurology 77 Mass Ave, Medical E23-395, Cambridge, MA 02139-4301 2006-02-23
1174598957 Anna Jasonides Dietitian, Registered 77 Mass Ave, Medical E23-395, Cambridge, MA 02139-4301 2006-02-23
1497720528 Audra L Bartz Social Worker 77 Mass Ave, Medical E23-395, Cambridge, MA 02139-4301 2006-02-22
1801861943 M. Lisa Bosley Clinical Nurse Specialist 77 Mass Ave, Medical E23-395, Cambridge, MA 02139-4301 2006-02-22
1356316400 Eileen C Cecca Nurse Practitioner 77 Mass Ave, Medical E23-395, Cambridge, MA 02139-4301 2006-02-22
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1598316044 Diane Greenleaf Registered Nurse Cha Windsor Clinic, 119 Windsor St, Cambridge, MA 02139 2019-09-26
1730738345 Martin Bednar Student in an Organized Health Care Education/Training Program 350 Massachusetts Avenue, Cambridge, MA 02139 2019-09-06
1861050049 Rebecca Marie Addison Dietitian, Registered 75 Auburn St, Cambridge, MA 02139 2019-06-03
1285103051 Jenna Halloran Social Worker 929 Massaschusetts Ave, Cambridge, MA 02139 2018-11-21
1750859286 Lisa Marie Keovongsa Dietitian, Registered 186 1/2 Hampshire St., Cambridge, MA 02139 2018-11-02
1245714237 Eleanor Coffin Occupational Therapist 1483 Cambridge St, Cambridge, MA 02139 2018-09-17
1649758277 Sariya Idriss Social Worker Cambridge Health Alliance, 1493 Cambridge St., Cambridge, MA 02139 2018-08-06
1538647151 Ari Pehkonen Social Worker Cambridge Health Alliance, Cambridge Hospital, 1493 Cambridge St., Cambridge, MA 02139 2018-08-06
1972080893 Esther Cazeau Counselor 237 Hampshire St., Cambridge, MA 02139 2018-07-24
1528596533 Adam Liebling Acupuncturist 11 Fiske Pl., Cambridge, MA 02139 2017-06-03
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Taxonomy Information

Taxonomy Code 152W00000X
Grouping Eye and Vision Services Providers
Classification Optometrist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1740768126 Janne Chuang Optometrist 1815 Massachusetts Ave Ste 117b, Cambridge, MA 02140-1430 2018-07-30
1649704297 Florence Jackie Lee Optometrist 495 Massachusetts Ave, Cambridge, MA 02139-4018 2017-04-19
1316313208 Kelly Abbott Optometrist 12 Eliot St., Cambridge, MA 02138 2015-08-14
1629358346 Susan Cheng Optometrist 1 Brattle Sq, Suite A2, Cambridge, MA 02138-3723 2011-08-25
1265749642 Randi Vera Frankl Optometrist 19 Dunster Street, Cambridge, MA 02138-5002 2010-09-08
1922315282 Katherine Y Shen Optometrist 87 Auburn Park # 204, Cambridge, MA 02139-4178 2010-09-08
1295059830 Summer Joy Mcgeever Optometrist 100 Cambridgeside Pl # 2w110, Cambridge, MA 02141-2218 2010-03-25
1821261678 See Inc Optometrist 1276 Massachusetts Ave, Cambridge, MA 02138-3827 2008-04-11
1306059779 David M Luria Optometrist 12 Eliot St, Cambridge, MA 02138-5706 2007-05-08
1821113804 Gibbons Eye Clinic, Optometrists, P.a. Optometrist 120 Main St N, Cambridge, MN 55008-1230 2007-03-20
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City CAMBRIDGE
Zip Code 02139

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Dataset Information

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.

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