ENVISION OPTOMETRY PC
NPI 1386032092
Optometrist in Boston, MA

NPI Status: Active since January 05, 2015

Contact Information

126 HIGH ST
BOSTON, MA
ZIP 02110
Phone: (617) 426-0100

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  • Organization
  • Optometrist
  • CLIA Number: 22D2280775
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 07-23-2026

About ENVISION OPTOMETRY PC

This page provides the complete NPI Profile along with additional information for Envision Optometry Pc, a provider established in Boston, Massachusetts operating as a Optometrist. The healthcare provider is registered in the NPI registry with number 1386032092 assigned on January 2015. The practitioner's primary taxonomy code is 152W00000X with license number 4792 (MA). The provider is registered as an organization and their NPI record was last updated 11 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Tricia Rose (Owner)

NPI
1386032092
Provider Name
ENVISION OPTOMETRY PC
Entity Type
Organization
Location Address
126 HIGH ST BOSTON, MA 02110
Location Phone
(617) 426-0100
Mailing Address
126 HIGH ST BOSTON, MA 02110
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-05-2015
Last Update Date
01-05-2015
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Optometrist

Taxonomy Code
152W00000X
Type
Eye and Vision Services Providers
License No.
4792
License State
MA
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

TRICIA ROSE

Authorized Official Title
OWNER
Authorized Official Phone
(617) 426-0100

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
0020970OTHER (01)MAPTAN

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
22D2280775
Facility Type
Physician Office
Certificate Effective Date
July 24, 2024
Certificate Expiration Date
July 23, 2026
Laboratory Director
JACLYN GARLICH
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Envision Optometry Pc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1386032092
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
23166034018
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 1 + 6 + 6 + 0 + 3 + 4 + 0 + 1 + 8 + 24 = 58
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 58 = 22

The NPI number 1386032092 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1407010887DR. DIANNA LISTER O.D.
Individual
Optometrist126 HIGH ST STE 100
BOSTON, MA 02110
(617) 426-0100
1154638591DR. JACLYN E. GARLICH OD
Individual
Optometrist126 HIGH ST
BOSTON, MA 02110
(617) 426-0100

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1386032092, enumerated in the NPI registry as an "organization" on January 05, 2015

The provider is located at 126 High St Boston, Ma 02110 and the phone number is (617) 426-0100

This medical organization specializes in Optometrist with taxonomy code 152W00000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 22D2280775 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on January 05, 2015. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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