Active NPIIndividual providerSole proprietor

Adam Provost, OD

Optometrist in Boston, Massachusetts

NPI Number1497486260
Practice location
150 S Huntington Ave, Boston, MA 02130-4817
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
Zip
02130-4817
Phone Number
617-232-9500
Boston, MA 02130Get directions →

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

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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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.

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