Janice Sirima Paknejad, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

12947 Issued in CA

Practice address

372 Washington St
Brighton, MA 02135-2725

Phone

(617) 782-6650

Fax

(617) 782-2660

NPI assigned

Aug 31, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

New England College of Optometry, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Michael V. Terzian, O.D., a Professional CorporationGroup PAC ID 5991955320, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Michael V. Terzian, O.D., a Professional Corporation

  • Optometrist
  • Northridge, CA
  • NPI 1336496587
  Medicare reassignment Care Compare group NPD
• Brighton Eye Associates, P.C.

  • Optometrist
  • Brighton, MA
  • NPI 1790999282
  NPD (past)
• Kristen Banek PC

  • Optometrist
  • Brighton, MA
  • NPI 1568797314
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542153600000",
    "number": "1164534780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19038 BRASILIA DR",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913261520",
            "telephone_number": "818-836-2299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "372 WASHINGTON ST",
            "city": "BRIGHTON",
            "state": "MA",
            "postal_code": "021352725",
            "telephone_number": "617-782-6650",
            "fax_number": "617-782-2660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAKNEJAD",
        "first_name": "JANICE",
        "middle_name": "SIRIMA",
        "name_prefix": "Mrs.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2018-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "12947",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASSHEALTH",
            "identifier": "0705691",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "478947",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "W16450",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Thim Oung Mathurin, NP
• Julian Fausto Oviedo, MD
• Kristen Elizabeth Padulsky, NP
• Olivia Paige
• Asif M Paker, M.D., M.P.H.
• Alexander W.Y. Pang, MD
• Sierra Pannell
• Nita T Pant, MD
• Papakyrikos Therapy & Performance Inc
• Olivia Papakyrikos, MA, LMHC

• Optometrist in Brighton, MA
• Providers in Brighton, MA by specialty
• Optometrist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.