Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Elaine Icban, OD

Individual provider Optometrist · NPI 1609814177

Dr. Elaine Icban, OD is an Optometry in Boston, Massachusetts. Graduated from University of California - School of Optometry in 2005, 21 years ago. Practices with University Eye Care LLC, a 2-clinician group and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
21
Trained at
University of California - School of Optometry
Licensed in
MA
In the registry since
2006
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

4199 Washington St Ste 2
Boston, MA 02131-1733
Phone: (617) 587-5520
Fax: (617) 587-5521
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 4677 (MA)

Record details

NPI number1609814177
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorNo
NPI enumeratedJune 4, 2006
Last updated in NPPESMarch 5, 2009

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolUNIVERSITY OF CALIFORNIA - SCHOOL OF OPTOMETRY
Graduated 2005 (21 years in practice)
Group practice University Eye Care Llc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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