Myeyedr Optometry Of Massachusetts P C

Optometrist in Randolph, MA. Organization (NPI-2).

NPI number1033768445

StatusActive

Last updated in NPPESMay 25, 2022

Details

NPI: 1033768445
Entity type: Organization (NPI-2)
Legal business name: Myeyedr Optometry Of Massachusetts P C
Organization subpart: No
Enumeration date: Sep 9, 2019
Certification date: May 25, 2022
Last updated: May 25, 2022

Medicare and OIG

Medicare enrolled (PECOS): Not in the Medicare enrollment file
Can order and refer: Not on the CMS order and referring list
OIG exclusion list: This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
152W00000X	Optometrist	–	–	Yes

Other names

Myeyedr. (Doing Business As)

Practice location

27 Memorial Pkwy
Randolph, MA 02368-4539

Phone 781-986-7400 · Fax 781-986-5201

Mailing address

8614 Westwood Center Dr Fl 9
Vienna, VA 22182-2442

Phone 703-847-8899 · Fax 571-223-6780

Authorized official

Sue Downes
Secretary
7038478899

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Optometrist providers in Randolph, MA

All 18 Optometrist providers in Randolph · All 1,192 providers in Randolph

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