Active NPI
Elizabeth Daher, MD
- Ophthalmology Physician
- Wellesley, MA
National Provider Identifier
1215957543
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 73692
- Practice address
- 65 Walnut St
Suite 330
Wellesley, MA 02125 - Phone
- (781) 235-1947
- Fax
- (781) 642-7746
- NPI assigned
- Jul 20, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 73692 | MA | Primary |
Addresses
Primary practice location
65 Walnut St
Suite 330
Wellesley, MA 02125
Mailing address
110 Robin Rd
Weston, MA 02493
Phone (617) 723-2020
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3083128 | Medicaid | MA |
Other names 1
- Elizabeth Daher Fasse
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1215957543",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 ROBIN RD",
"city": "WESTON",
"state": "MA",
"postal_code": "02493",
"telephone_number": "617-723-2020",
"fax_number": "781-642-7746"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "65 WALNUT ST",
"address_2": "SUITE 330",
"city": "WELLESLEY",
"state": "MA",
"postal_code": "02125",
"telephone_number": "781-235-1947",
"fax_number": "781-642-7746"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAHER",
"first_name": "ELIZABETH",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "MA",
"license": "73692",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3083128",
"state": "MA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ELIZABETH",
"last_name": "FASSE",
"middle_name": "DAHER",
"credential": "MD",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Wellesley, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.