North Shore Retina PLLC

Primary specialty

Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X

Legal business name

NORTH SHORE RETINA PLLC

Practice address

900 Cummings Ctr Ste 308V
Beverly, MA 01915-6181

Phone

(978) 922-1344

Fax

(978) 922-1346

NPI assigned

Aug 24, 2020

Organization subpart

No

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

Authorized official

Name

Shahrokh C Khani, MDNPI 1710953690

Title

Sole Owner

Phone

(978) 922-1344

Specialties & licenses 1

Addresses

Other names 1

• Shahrokh C Khani MD Other name

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shahrokh Charles Khani, MD PHD

  • Retina Specialist (Ophthalmology) Physician
  • Beverly, MA
  • NPI 1710953690
  NPD (past) Authorized official
• Sara Haji Abdollahi, M.D.

  • Ophthalmology Physician
  • Encino, CA
  • NPI 1720250475
  NPD
• Lynn Lin Huang, MD, MPH

  • Ophthalmology Physician
  • Westlake Village, CA
  • NPI 1689808438
  NPD

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

{
    "created_epoch": "1598227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598227200000",
    "number": "1245843937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 WALKER RD",
            "city": "MANCHESTER",
            "state": "MA",
            "postal_code": "019441032",
            "telephone_number": "978-922-1344",
            "fax_number": "978-922-1346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 CUMMINGS CTR STE 308V",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019156181",
            "telephone_number": "978-922-1344",
            "fax_number": "978-922-1346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH SHORE RETINA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-24",
        "last_updated": "2020-08-24",
        "certification_date": "2020-08-24",
        "status": "A",
        "authorized_official_last_name": "KHANI",
        "authorized_official_first_name": "SHAHROKH",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "SOLE OWNER",
        "authorized_official_telephone_number": "978-922-1344",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207WX0107X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology, Retina Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shahrokh C Khani MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• North Shore Pain Management, LLC
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• North Shore Pediatric Dental Associates
• North Shore Preventive Health Care, P.C.
• North Shore Psychiatry Center
• North Shore Urological Assoc., Inc
• North Shore Vascular, P.C.
• North Shore Wellness Institute PC
• North Suburban Hospitalists
• Northbound Counseling

• Retina Specialist (Ophthalmology) Physician in Beverly, MA
• Providers in Beverly, MA by specialty
• Retina Specialist (Ophthalmology) Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.