Dr. Elaine Icban is a Boston, Massachusetts based female Optometrist with 19 years of experience in Optometry. She completed her graduation from University Of California - School Of Optometry in 2005. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Dr. Elaine Icban is 4677 for Optometry in Massachusetts.
Dr. Elaine Icban examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. She completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. She is a eye health care professional who is state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Complete Profile:
Dr. Elaine Icban speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Specialization: | Optometry |
| Credentials: | O.D. |
| Experience: | 19+ years |
| Medical School Attended: | University Of California - School Of Optometry |
| Graduation Year: | 2005 |
| Gender: | Female |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 4199 Washington St, Suite 2, Boston,
Massachusetts, 02131-1733 |
| Phone: | 617-587-5520 |
| Fax: | 617-587-5521 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which 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).
NPI details are as mentioned below.
| PAC ID: | 4385645456 |
| Enrollment ID: | I20090327000039 |
| NPI Number: | 1609814177 |
| NPI Enumeration Date: | 04 Jun, 2006 |
| NPI Last Update On: | 05 Mar, 2009 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Elaine Icban are as mentioned below.
| License Number | Specialization | State | Status | |
| 4677 | Optometry | Massachusetts | Primary | |
Group Practice:
Group practices are run by a group of physicians who share their premises and other resources. Following list states all the group name
with which Dr. Elaine Icban has association with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| University Eye Care Llc (0749586410) | 2 |
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Elaine Icban such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 95191001 | Other | Massachusetts | NETWORK HEALTH |
| 7733882 | Other | Massachusetts | AETNA |
| 2988926 | Other | Massachusetts | UNITED HEALTH CARE |
| AA131399 | Other | Massachusetts | HARVARD PILGRIM |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 930 Commonwealth Ave, Suite 2a
Boston, Massachusetts |
| Zip: | 02215-1274 |
| Phone Number: | 617-587-5511 |
| Fax Number: | 617-587-5514 |
Patients can reach Dr. Elaine Icban at
4199 Washington St, Suite 2, Boston, Massachusetts or can
call to book an appointment on 617-587-5520. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.