Bahram Shomali, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

3685 Issued in MA

Practice address

18 Tremont St
#702
Boston, MA 02108-2301

Phone

(617) 426-3236

NPI assigned

Mar 22, 2007

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

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, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Barham Shomali OD

  • Optometrist
  • Boston, MA
  • NPI 1922294792
  NPD (past) Authorized official

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453075200000",
    "number": "1396862876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 TREMONT ST",
            "address_2": "#702",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021082301",
            "telephone_number": "617-426-3236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 TREMONT ST",
            "address_2": "#702",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021082301",
            "telephone_number": "617-426-3236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOMALI",
        "first_name": "BAHRAM",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-22",
        "last_updated": "2016-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "3685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Parisa Shokri Soltanabadi, DMD
• Siamak Shokrollahi
• Kayla Lynne Sholds, DPT
• Roxanne Sholevar, MD
• Lynette Marie Sholl, M.D.
• Darian Shomali
• Daniel Oluwatobi Shonibare
• Sandra Shontell, RN
• Corey Scott Shook, D.M.D.
• Douglas C Shook, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2016; 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.