Active NPI
Nimira Samji, OD
- Optometrist
- Danvers, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 4108
- Practice address
- 139 Endicott St
Endicott Plaza
Danvers, MA 01923-2515 - Phone
- (978) 777-4700
- Fax
- (978) 750-0862
- NPI assigned
- Nov 21, 2006
- Last updated
- May 30, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 046010253 | IL | |
| Optometrist | 152W00000X | 4108 | MA | Primary |
Addresses
Primary practice location
139 Endicott St
Endicott Plaza
Danvers, MA 01923-2515
Mailing address
139 Endicott St
Endicott Plaza
Danvers, MA 01923-2515
Phone (978) 777-4700
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0335771 | Medicaid | MA | |
| 346003017 | Other | IL | ILLINOIS CONTROLLED SUBSTANCE |
| 4108 | Other | MA | MASSACHUSETTS OPTOMETRY LICENSE |
| 046010253 | Other | IL | ILLINOIS OPTOMETRY LICENSE |
| W16375 | Other | MA | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA, NH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- New England College of Optometry, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Highland Ave
3B
Malden, MA 02148-6603
Phone (781) 321-9039
139 Endicott St
Danvers, MA 01923-4803
Phone (978) 777-4700
652 Lafayette Rd
Unit 3
Seabrook, NH 03874-4346
Phone (603) 414-0269
700 Boston Rd
Billerica, MA 01821-5316
Phone (978) 667-0481
90 Middlesex Tpke
Burlington, MA 01803-4920
Phone (781) 229-0434
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1080 | NH | MD | Addiction (Substance Use Disorder) Counselor |
| 046010253 | IL | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mass Optometric Associates, PLLC | Optometrist | Current | Accepting new patients |
| Appleton Eye Associates PC | Optometrist | Current | Accepting new patients |
| Appleton Eye Associates P.C. | Optometrist | Current | Accepting new patients |
| Exeter Eye Associates, LLC | Optometrist | Current | Accepting new patients |
| Optometric Providers of New Hampshire, PLLC | Optometrist | Current | Accepting new patients |
| Mass Optometric Associates, PLLC | Optometrist | Current | Accepting new patients |
| Optometric Providers of New Hampshire, PLLC | Optometrist | Current | Accepting new patients |
Locations
700 Boston Rd
Billerica, MA 01821
Phone (978) 667-0481
37 Newbury St
Boston, MA 02116
Phone (617) 437-1070
139 Endicott St
Danvers, MA 01923
Phone (978) 646-8930
39 Green St
Newburyport, MA 01950
Phone (978) 465-8761
346 S Broadway
#28
Salem, NH 03079
Phone (603) 898-8560
652 Lafayette Rd
Unit 3
Seabrook, NH 03874
Phone (603) 414-0269
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1685404800000",
"number": "1235204694",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "139 ENDICOTT ST",
"address_2": "ENDICOTT PLAZA",
"city": "DANVERS",
"state": "MA",
"postal_code": "019232515",
"telephone_number": "978-777-4700",
"fax_number": "978-750-0862"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "139 ENDICOTT ST",
"address_2": "ENDICOTT PLAZA",
"city": "DANVERS",
"state": "MA",
"postal_code": "019232515",
"telephone_number": "978-777-4700",
"fax_number": "978-750-0862"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAMJI",
"first_name": "NIMIRA",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-21",
"last_updated": "2023-05-30",
"certification_date": "2023-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IL",
"license": "046010253",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MA",
"license": "4108",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0335771",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ILLINOIS CONTROLLED SUBSTANCE",
"identifier": "346003017",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MASSACHUSETTS OPTOMETRY LICENSE",
"identifier": "4108",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ILLINOIS OPTOMETRY LICENSE",
"identifier": "046010253",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "W16375",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Danvers, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2023; 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.