Adam Provost, OD
Optometrist in Boston, Massachusetts
1497486260- Practice location
- 150 S Huntington Ave, Boston, MA 02130-4817
- Phone
- 617-232-9500
- Fax
- —
- Last updated
- June 22, 2022
Adam Provost is an Optometrist based in Boston, MA. Adam Provost practices in Boston, MA and has the professional credentials of OD. The NPI Number for Adam Provost is 1497486260 and holds a License No. 5534 (MA). The current practice location address for Adam Provost is 150 S Huntington Ave, Boston, MA 02130-4817 and can be reached out via phone at 617-232-9500.
Provider Profile Details
- NPI Number
- 1497486260
- Provider Name
- Adam Provost
- Credential
- OD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 150 S Huntington Ave, Boston, MA 02130-4817
- Phone Number
- 617-232-9500
- Primary Taxonomy
- Optometrist · 152W00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- June 22, 2022
- Last Update Date
- June 22, 2022
- Certification Date
- June 22, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 150 S Huntington Ave
Boston, MA 02130-4817 - City
- Boston
- State
- Massachusetts
- Zip
- 02130-4817
- Phone Number
- 617-232-9500
Provider Business Mailing Address Details
- Address
- 485 Foley St Unit 903
Somerville, MA 02145-1297 - City
- Somerville
- State
- MA
- Zip
- 02145-1297
License Information
- License Number
- 5534
- License State
- MA
- Taxonomy
- Optometrist · 152W00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Optometrists near Boston, MA
View all Optometrists in Boston →Frequently Asked Questions
What is the NPI number of Adam Provost, OD?
The NPI number of Adam Provost, OD is 1497486260. It was assigned on June 22, 2022 and is currently active in the NPPES registry.
What is the specialty of Adam Provost, OD?
Adam Provost, OD is registered under the primary taxonomy Optometrist (code 152W00000X), licensed in MA under license number 5534.
Where does Adam Provost, OD practice?
The practice location is 150 S Huntington Ave, Boston, MA 02130-4817. The office can be reached at 617-232-9500 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1497486260 directly on the NPPES registry website.