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Deactivated NPI 1225179070 Deactivated / Inactive NPI Male Practitioner

Edward G Pelham

Technician/Technologist - Optician • Boston, MA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Edward Pelham has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date February 12, 2007
NPI Deactivation Date July 19, 2023
Total Practice Duration ~16 Years of Practice (2007 – 2023)

Professional Overview & Biography Verified Profile Summary

Edward Pelham was a registered Technician/Technologist - Optician practicing in Boston, MA. Throughout an active medical career spanning 16 years, Edward Pelham provided care at the practice location at 930 COMMONWEALTH AVE until profile deactivation on 2023-07-19.

Practice Location & Contact Primary Location

Practice Address

930 Commonwealth Ave
New England Eye Institute

Boston, MA 02215

Telephone 6172622020
Fax 6172366323
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Technician/Technologist - Optician in Boston, MA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
27 Specialists

Practicing in Boston, MA (309 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Technician/Technologist - Optician Primary Specialty

NUCC Taxonomy Code: 156FX1800X

State License MA 4184

Opticians help fit eyeglasses and contact lenses, following prescriptions from Ophthalmologists and Optometrists. They also help customers decide which eyeglass frame or contact lenses to buy.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
NPI 1013211689

Doctor of Optometry

NPI 1033119409

Doctor of Optometry

Jennfier Kaldenberg , OT

Occupational Therapist

NPI 1033250907

Occupational Therapist

NPI 1043575624

Doctor of Optometry

NPI 1053920140

Doctor of Optometry

NPI 1093146169

Doctor of Optometry

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated July 19, 2023

Record deactivated on July 19, 2023

NPI Profile Active March 05, 2009

NPI status registered as active in NPPES database

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Updated Practice Location March 05, 2009

Registered at 930 COMMONWEALTH AVE, NEW ENGLAND EYE INSTITUTE, BOSTON, MA 02215 (Tel: 6172622020)

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Updated Business Mailing Address March 05, 2009

Registered at 930 COMMONWEALTH AVE, NEW ENGLAND EYE INSTITUTE, BOSTON, MA 022151274 (Tel: 6172622020)

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Provider Name / Credentials Updated March 05, 2009

Recorded as EDWARD PELHAM

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 05, 2009

Technician/Technologist (License #4184 in MA)

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Initial NPI Registration & Enumeration February 12, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1225179070
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 12, 2007
Last Update: March 05, 2009
Deactivation Date: July 19, 2023

Mailing Address

930 Commonwealth Ave, New England Eye Institute

Boston, MA 022151274

Phone: 6172622020

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.