
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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