Nabeel Khudairi, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

3517 Issued in MA

Practice address

54 Cottage St E
Norwood, MA 02062-3532

Phone

(781) 762-5455

NPI assigned

May 24, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MA

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, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Parrelli Eye Associates LLCGroup PAC ID 5799121471, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Parrelli Eye Associates LLC

  • Optometrist
  • Danvers, MA
  • NPI 1356105704

  MA, Optometrist

  Medicare reassignment Care Compare group NPD Authorized official
• Swift Optometry Care PC

  • Optometrist
  • Tolland, CT
  • NPI 1063753887

  MA, Optometrist

  Medicare reassignment NPD
• Clear Vision Eye Center,Inc

  • Ophthalmology Physician
  • Stoneham, MA
  • NPI 1063605251
  NPD (past)
• Parrelli Optical, LLC

  • Optician
  • Danvers, MA
  • NPI 1861544041
  NPD (past)

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317254400000",
    "number": "1265487607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 COTTAGE ST E",
            "city": "NORWOOD",
            "state": "MA",
            "postal_code": "020623532",
            "telephone_number": "781-762-5455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 COTTAGE ST E",
            "city": "NORWOOD",
            "state": "MA",
            "postal_code": "020623532",
            "telephone_number": "781-762-5455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHUDAIRI",
        "first_name": "NABEEL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-24",
        "last_updated": "2011-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "3517",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0369314",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leroy J Kelley III, DPM
• Kelly Williams LMHC LLC
• Amna Haq Khan, MD
• Holly Khang
• Constantine Khoury, M.D.
• Kiefer Periodontics and Dental Implants PC
• Jennifer Kilkenny, NP
• Marilyn S Kim, M.D.
• Samuel Seung-Ho Kim, M.D.
• John W Kinch, MD

• All providers in Norwood, MA
• Optometrist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2011; 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.