Dr. Elizabeth Pallante, OD
Optometrist in Boston, MA. Individual provider (NPI-1).
NPI number1053920140
StatusActive
Last updated in NPPESDec 2, 2021
Details
- NPI
- 1053920140
- Entity type
- Individual (NPI-1)
- Name
- Dr. Elizabeth Pallante
- Credential
- OD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 24, 2020
- Certification date
- Dec 2, 2021
- Last updated
- Dec 2, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - OPTOMETRY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility No · Hospice Yes
- 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 | 3622 | TN | Yes |
Practice location
930 Commonwealth AveBoston, MA 02215-1274
Phone 617-262-2020
Mailing address
930 Commonwealth AveBoston, MA 02215-1274
Phone 617-262-2020 · Fax 617-236-6323
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