BOSTON EYE SURGERY & LASER CENTER TRUST NPI 1124116264

NPI Information

  • NPI: 1124116264
  • Provider Name: BOSTON EYE SURGERY & LASER CENTER TRUST
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • :
  • CLIA Number: 22D0074770
  • Address: 50 STANIFORD ST
    LOBBY LEVEL
    BOSTON, MA
    ZIP 02114
  • Phone: (617) 723-2015

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NPI Details

BOSTON EYE SURGERY & LASER CENTER TRUST is an ambulatory surgical clinic center in Boston, MA. BOSTON EYE SURGERY & LASER CENTER TRUST NPI is 1124116264. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

50 STANIFORD ST
LOBBY LEVEL
BOSTON, MA
ZIP 02114-517
Phone: (617) 723-2015
Fax: (617) 723-7787

The provider's authorized official is Suzanne Mcdermott .
The authorized official title is Administrator and has the following contact phone number (617) 314-2672.

The CLIA number assigned to this NPI record is 22D0074770 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Removal of cataract with insertion of prosthetic lens (HCPCS:66984)
  • Removal of recurring cataract in lens capsule using a laser (HCPCS:66821)
  • Complex removal of cataract with insertion of prosthetic lens (HCPCS:66982)
  • Laser repair to improve eye fluid flow (HCPCS:65855)
  • Processing, preserving and transporting corneal tissue (HCPCS:V2785)
  • Transplantation of outer layer of corneal tissue (HCPCS:65756)
  • Creation of eye fluid drainage tracts in iris using a laser, per session (HCPCS:66761)
  • Incision to improve eye fluid flow (HCPCS:65820)
  • Repair of tendon of upper eyelid (HCPCS:67904)
  • Removal of excessive skin and fat of upper eyelid (HCPCS:15823)
  • Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye (HCPCS:66991)
  • Destruction of lens tissue using laser (HCPCS:66710)
  • Repositioning of lens prosthesis (HCPCS:66825)
  • Removal of eye fluid (vitreous) between lens and retina (HCPCS:67036)
  • Photocoagulation treatment to prevent detachment of retina (HCPCS:67145)
  • Revision or repair of operative wound of eye (HCPCS:66250)
  • Removal of membrane of retina with removal of internal limiting membrane of retina (HCPCS:67042)
  • Removal of membrane of retina (HCPCS:67041)
  • Creation of eye fluid drainage tract for treatment of glaucoma (HCPCS:66170)
  • Repair of detached retina by injection of air or gas (HCPCS:67110)
  • Partial removal of eye fluid between lens and retina (HCPCS:67005)

The enumeration date for this NPI number is 10/11/2006 and was last updated on 11/6/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QA1903XClinic/CenterAmbulatory SurgicalYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11100315506AMEDICAIDMASSACHUSETTS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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