Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Simon David Archambault, MS

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1215678792

Simon David Archambault, MS is an Ophthalmology in Boston, Massachusetts. Graduated from University of Connecticut School of Medicine in 2022, 4 years ago. Licensed in Massachusetts and New Mexico.

Years since qualifying
4
Trained at
University of Connecticut School of Medicine
Licensed in
MA, NM
In the registry since
2022
Specialties on file
3
What do these letters mean?
MS — Master of Science
A graduate science degree.

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Practice location Address checks out

800 Washington St
Boston, MA 02111-1552
Phone: (617) 636-4648
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ophthalmology Physician (primary) Taxonomy 207W00000X · Licence 293609 (MA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence RS2025-0286 (NM)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1215678792
Entity typeIndividual (Type 1)
GenderMale
Credentials MS
Sole proprietorNo
NPI enumeratedApril 6, 2022
Last updated in NPPESAugust 13, 2025
Certification dateAugust 13, 2025
Mailing address9 Greenway Dr, Cromwell, CT 06416-2570

Medicare enrollment

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

Medicare specialtyOPHTHALMOLOGY
Medical schoolUNIVERSITY OF CONNECTICUT SCHOOL OF MEDICINE
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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