Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Cora Mia Vitale, OD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1700635828

Cora Mia Vitale, OD is an Optometry in Brookline, Massachusetts. Graduated from New England College of Optometry in 2024, 2 years ago. Practices with Boston Laser Eye Institute PC, a 23-clinician group and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
2
Trained at
New England College of Optometry
Licensed in
MA
In the registry since
2024
Specialties on file
2
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

24 Webster Pl
Brookline, MA 02445-7937
Phone: (617) 202-2020
Fax: (617) 734-3264
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence OPT5727 (MA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1700635828
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorNo
NPI enumeratedMay 13, 2024
Last updated in NPPESJuly 18, 2025
Certification dateJuly 18, 2025
Mailing address220 Middlesex Ave, Medford, MA 02155-5000

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolNEW ENGLAND COLLEGE OF OPTOMETRY
Graduated 2024 (2 years in practice)
Group practice Boston Laser Eye Institute Pc — 23 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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