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Massachusetts Department of Public Health Primary Source Verification Massachusetts Department of Public Health Updated October 1, 2021 Bureau of Health Professions Licensure Drug Control Program 239 Causeway Street, Suite 500, Boston, MA 02114 Tel: 617-973-0949 Fax: 617-753-8233 Active MCSR's for OPTOMETRISTS First Name Last name Middle Name Suffix Address City State Zip Issued Expires Class Drug_Schedules JOHN ABBONDANZA M VISION CARE SPECIALIST 30 TURNPIKE ROAD, SUITE 7 SOUTHBORO MA 01772 8/9/2021 8/9/2022 OD VI KELLY ABBOTT ANNE EYE Q OPTICAL 615 CENTRE ST JAMAICA PLAIN MA 02130 10/23/2020 10/23/2021 OD VI ANGELA ABRAHAM B 67 TROWBRIDGE AVE NEWTON MA 02460 6/6/2021 6/6/2022 OD VI MICHAEL ADAMS R MILFORD-FRANKLIN EYE CENTER 750 UNION ST FRANKLIN MA 02038 4/23/2021 4/23/2022 OD VI JEANNETTE ADELSBERGER CAMBRIDGE HEALTH ALLIANCE 236 HIGHLAND AVE SOMERVILLE MA 02143 5/22/2021 5/22/2022 OD VI BRITT ADORNATO E FOREST PARK EYE CARE 453 SUMNER AVENUE SPRINGFIELD MA 01108 3/2/2021 3/2/2022 OD VI SURAJ AFSHAR S HELLER EYECARE 230 LOWELL ST 1B WILMINGTON MA 01887 1/30/2021 1/30/2022 OD VI TALISH AGHABABAYAN MAGALHAES AND ASSOCIATES, INC. 382 STATE RD NORTH DARTMOUTH MA 02747 11/15/2020 11/15/2021 OD VI DANA AGNES RENDALL 3 SUNDAY WOODS RD WESTON MA 02493 3/23/2021 3/23/2022 OD VI LOUIS AGUIAR F 289 PLEASANT STREET, SUITE 201 FALL RIVER MA 02721 10/23/2021 10/23/2022 OD VI DIANE AH-KINE NG POON HING 204 ARSENAL STREET SUITE 100 WATERTOWN MA 02472 1/13/2021 1/13/2022 OD VI SAAD AHMED EYE HEALTH VISION CENTERS 933 PLEASANT ST. FALL RIVER MA 02723 7/15/2021 7/15/2022 OD VI NAYIRI AJOIAN EYESMILE 333 TRAPELO RD BELMONT MA 02478 8/26/2021 8/26/2022 OD VI BRIAN ALEO M EYECARE - EYEWEAR ASSOC. 45 COHANNET STREET TAUNTON MA 02780 6/14/2021 6/14/2022 OD VI THOMAS ALEO H FAMILY VISION CENTER 283 WASHINGTON STREET WEYMOUTH MA 02188 2/7/2021 2/7/2022 OD VI HYDER ALMOSAWY JAMAL 500 EAST WASHINGTON STREET, SUITE 12 NORTH ATTLEBORO MA 02760 11/12/2020 11/12/2021 OD VI PAMELA ANDERSON K WORCESTER OPHTHALMOLOGY ASSOCIATES 25 OAK AVENUE WORCESTER MA 01605 8/24/2021 8/24/2022 OD VI MELISSA ANDRADE MARIA 85 FRONT STREET SCITUATE MA 02066 11/12/2020 11/12/2021 OD VI THOMAS ANDREA CHARLES 107 COMMERCIAL ST. MASHPEE MA 02649 6/26/2021 6/26/2022 OD VI PHYLLIS ANDREJKO NEW ENGLAND EYE ROSLINDALE 4199 WASHINGTON ST, SUITE 2 ROSLINDALE MA 02131 7/9/2021 7/9/2022 OD VI JAMES ANDREWS III 1105 BOSTON ROAD SPRINGFIELD MA 01119 4/6/2021 4/6/2022 OD VI KEITH ANDREWS PAUL C/O LEE OPTICAL 103 PLEASANT STREET MALDEN MA 02148 10/22/2020 10/22/2021 OD VI SHAWNA ANDREWS R. 591 MEMORIAL DRIVE CHICOPEE MA 01020 7/13/2021 7/13/2022 OD VI NIKITA ANEJA THE DIMOCK CENTER EYE CARE SERVICES 55 DIMOCK STREET ROXBURY MA 02119 8/19/2021 8/19/2022 OD VI STEPHEN ANGELO J 154 HAVERHILL STREET METHUEN MA 01844 11/3/2020 11/3/2021 OD VI GRACE ANOSIKE E. 100 CAMBRIDGE PL CAMBRIDGE MA 02141 7/6/2021 7/6/2022 OD VI THOMAS ANZALDI M BAYSTATE EYE ASSOCIATES 427 LYNNWAY LYNN MA 01905 1/7/2021 1/7/2022 OD VI SARA APOLLONIO ANNE D'AMBROSIO EYE CARE INC. 479 OLD UNION TURNPIKE LANCASTER MA 01523 8/6/2021 8/6/2022 OD VI KATHRYN ARRUDA M ADVANCED EYE CTRS., INC. SUITE 110 500 FAUNCE CORNER ROAD NORTH DARTMOUTH MA 02747 3/7/2021 3/7/2022 OD VI PHILIP ARSENAULT M BRAINTREE EYE ASSOCIATES 250 GRANITE, SUITE 2069 BRAINTREE MA 02184 7/21/2021 7/21/2022 OD VI HAROOT ARTINIAN NATICK EYE ASSOCIATES 1364 WORCESTER RD NATICK MA 01760 7/22/2021 7/22/2022 OD VI BITA ASGHARI 464 HILLSIDE AVE STE 205 NEEDHAM MA 02494 10/16/2021 10/16/2022 OD VI ELIZABETH ASKEW ANN RELIANT MEDICAL GROUP 24 NEWTON STREET SOUTHBOROUGH MA 01772 11/12/2021 11/12/2022 OD VI ROBERT AUDYCKI A OPTOMEYES HEALTH 535 FAUNCE CORNER RD DARTMOUTH MA 02747 4/6/2021 4/6/2022 OD VI MICHAEL AYER H. HARVARD VANGUARD / VISUAL SERVICES 228 BILLERICA ROAD CHELMSFORD MA 01824 9/25/2021 9/25/2022 OD VI ARTHUR BABABEKOV 24 MONTVALE STREET ROSLINDALE MA 02131 2/12/2021 2/12/2022 OD VI KATARZYNA BABINSKI LUDLOW EYE CARE PC 200 CENTER STREET, SUITE 1 LUDLOW MA 01056 8/20/2021 8/20/2022 OD VI KELLY BADO ANN SOUTHAMPTON OPTICAL DOCTORS OFFICE 15-B COLLEGE HIGHWAY SOUTHAMPTON MA 01073 6/24/2021 6/24/2022 OD VI VANIA BAE YIP KOCH EYE 1404 ATWOOD AVE JOHNSTON RI 02919 11/7/2020 11/7/2021 OD VI MARTIN BAER JOSHUA 8 HOPKINS CIRCLE METHUEN MA 01844 7/17/2021 7/17/2022 OD VI ANNA BAGLIERI M BOSTON CHILDEN HOSPITAL 9 HOPE AVENUE WALTHAM MA 02453 11/1/2020 11/1/2021 OD VI LAWRENCE BAITCH WILLIAM MCPHS UNIVERSITY SCHOOL OF OPTOMETRY 10 LINCOLN SQ, RM 210-I WORCESTER MA 01608 2/6/2021 2/6/2022 OD VI AUDRA BAKE LINDSEY HARVARD VANGUARD VISUAL SERVICES 26 CITY HALL MALL MEDFORD MA 02155 7/14/2021 7/14/2022 OD VI Page 1 of 121 Primary Source Verification Massachusetts Department of Public Health Updated October 1, 2021 Bureau of Health Professions Licensure Drug Control Program 239 Causeway Street, Suite 500, Boston, MA 02114 Tel: 617-973-0949 Fax: 617-753-8233 KAYLA BAKER B EYE HEALTH VISION CENTERS 51 STATE ROAD NORTH DARTMOUTH MA 02747 7/6/2021 7/6/2022 OD VI AMANDA BALTAZAR M 274 PLEASANT ST NORTHAMPTON MA 01060 11/25/2020 11/25/2021 OD VI KRISTIN BARAGONA WATTS EYE ASSOCIATES 33 LOW ST NEWBURYPORT MA 01950 7/19/2021 7/19/2022 OD VI DAVID BARON EDWARD PARKHILL PLAZA 96 FRANKLIN ROAD FITCHBURG MA 01420 7/3/2021 7/3/2022 OD VI KATHLEEN BARR MARY BENNETT FAMILY EYE CARE 231 BELMONT ST BELMONT MA 02478 12/7/2020 12/7/2021 OD VI ARA BARSAMIAN VISION ASSOCIATES 103 MAIN STREET MARLBOROUGH MA 01752 11/16/2020 11/16/2021 OD VI SHUDESHNA BASHIR D'AMBROSIO EYECARE 479 OLD UNION TURNPIKE LANCASTER MA 01523 8/18/2021 8/18/2022 OD VI KATHLEEN BASILE ANN 22 SPLIT ROCK ROAD LYNN MA 01904 7/21/2021 7/21/2022 OD VI DANIEL BASTIAN A. LYNN CUMMUNITY HEALTH CENTER 20 CENTRAL AVENUE, 1ST FLOOR LYNN MA 01901 8/26/2021 8/26/2022 OD VI RACHEL BATES LYNETTE ASSOCIATED EYE SURGEONS 45 RESNIK RD #304 PLYMOUTH MA 02360 10/15/2020 10/15/2021 OD VI ALYSSA BATISTINE K 377 PLANTATION ST WORCESTER MA 01605 10/2/2020 10/2/2021 OD VI URSULA BATOR SZAJTA HILL EYE ASSOCIATES BEAVER BROOK VILLAGE 91 HILL ST STE 6 DRACUT MA 01826 12/7/2020 12/7/2021 OD VI STEPHANIE BATTISTA ALISSA LUNETTE OPTIC 121 HIGH ST BOSTON MA 02110 5/27/2021 5/27/2022 OD VI MURRAY BAUMAL H. 607 BOYLSTON STREET BOSTON MA 02116 1/26/2021 1/26/2022 OD VI BRITTANY BAUSCH ISABELLE 785 WILLIAMS ST #198 PO BOX #198 LONGMEADOW MA 01106 9/6/2021 9/6/2022 OD VI DANIEL BAUSCH EDWARD 11 WILBRAHAM ROAD SPRINGFIELD MA 01109 6/8/2021 6/8/2022 OD VI STACY BEAN E 40 ENON STREET BEVERLY MA 01915 1/25/2021 1/25/2022 OD VI ALLYX BEAULIER VA BOSTON HEALTHCARE SYSTEM 150 S. HUNTINGTON AVE JAMAICA PLAIN MA 02130 8/18/2021 8/18/2022 OD VI ALAN BEAULIEU DAVID WAKEFIELD EYE ASSOCIATES 336 MAIN STREET WAKEFIELD MA 018805013 3/30/2021 3/30/2022 OD VI KRISTEN BEHRENS HEATHER MCPHS UNIVERSITY OPTOMETRY DEPT 10 LINCOLN SQUARE WORCESTER MA 01608 7/16/2021 7/16/2022 OD VI FLORENCE BEJIAN 17 VILLAGE SQUARE CHELMSFORD MA 01824 5/5/2021 5/5/2022 OD VI HEATHER BELL ANNE MCPHS EYE AND VISION CENTER 10 LINCOLN SQUARE WORCESTER MA 01608 5/16/2021 5/16/2022 OD VI AMANDA BELLEVILLE LYNNE 231 BELMONT STREET BELMONT MA 02478 7/11/2021 7/11/2022 OD VI KENNETH BELLUCCI 1445 MAIN STREET TEWKSBURY MA 01876 7/8/2021 7/8/2022 OD VI CHRISTINA BENEVIDES MARIA EYE HEALTH VISION CENTERS 51 STATE ROAD DARTMOUTH MA 02747 9/23/2021 9/23/2022 OD VI LINDA BENNETT MAE 101 CHILTON STREET BELMONT MA 02478 7/10/2021 7/10/2022 OD VI PAUL BENOIT V EYE & LASIK CENTER 33 RIDDELL STREET GREENFIELD MA 01301 9/30/2021 9/30/2022 OD VI LYN BENTON ANN BASS RIVER OPTOMETRICS 173 CRANBERRY HIGHWAY ORLEANS MA 02653 9/19/2021 9/19/2022 OD VI CAYLA BERGSTROM MYRE VISION NORTH 77 N. WASHINGTON ST. BOSTON MA 02114 7/6/2021 7/6/2022 OD VI CLAIRE BERGUS A. 772 COUNTY STREET TAUNTON MA 02780 4/20/2021 4/20/2022 OD VI RACHEL BERKOWITZ NORA BROCKTON NEIGHBORHOOD HEALTH CENTER 63 MAIN ST. BROCKTON MA 02301 8/17/2021 8/17/2022 OD VI MARK BERNARDO M. MASS EYE & EAR LONGWOOD OPHTHALMOLOGY 3RD FLOOR 800 HUNTINGTON AVENUE BOSTON MA 02115 8/19/2021 8/19/2022 OD VI ELIZABETH BERRY PROKOS STURBRIDGE EYE CARE 135 MAIN STREET STURBRIDGE MA 01566 7/24/2021 7/24/2022 OD VI LEONARD BERTOLI VISIONWORKS TOWN LINE PLAZA 1 HIGHLAND AVENUE MALDEN MA 02148 6/26/2021 6/26/2022 OD VI JESSICA BESEN MARY EYE HEALTH VISION CENTERS 51 STATE RD DARTMOUTH MA 02747 8/1/2021 8/1/2022 OD VI PATRICK BESSETTE LUKE LAHEY CLINIC DEPT OF OPHTHALMOLOGY 41 MALL ROAD BURLINGTON MA 01805 6/30/2021 6/30/2022 OD VI MAHESH BHARDWAJ K.
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