NPI 1215678792 · live from the CMS NPI Registry
Simon David Archambault, MS
Ophthalmology in Boston, MA. National Provider Identifier 1215678792, active.
NPI record
| NPI | 1215678792 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Ophthalmology 207W00000X |
| Practice location | 800 Washington St, Boston, MA 02111 |
| Practice phone | 617-636-4648 |
| Mailing address | 9 Greenway Dr, Cromwell, CT 06416 |
| Enumerated | April 6, 2022 |
| Last updated | August 13, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | RS2025-0286 (NM) |
| Student in an Organized Health Care Education/Training Program | 390200000X | — |
| Ophthalmology primary | 207W00000X | 293609 (MA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.