Individual provider Active NPI

Afsoon Takrimi

  • Optometrist
  • Nashua, NH
National Provider Identifier
1477920718
Registry record updated Aug 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0913 Issued in NH
Practice address
310 Daniel Webster Hwy
Pheasant Lane Mall
Nashua, NH 03060-5730
Phone
(603) 888-0853
NPI assigned
Aug 21, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0913 NH Primary

Addresses

Primary practice location

310 Daniel Webster Hwy
Pheasant Lane Mall
Nashua, NH 03060-5730

Mailing address

310 Daniel Webster Hwy
Pheasant Lane Mall
Nashua, NH 03060-5730
Phone (603) 888-0853

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, NH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20151130001360 MA Practitioner - Optometry 6507166360 Reassigns benefits to 1 organization
I20151218000578 NH Practitioner - Optometry 6507166360 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mass Optometric Associates, PLLCGroup PAC ID 0648362442, 50 clinicians
Optometric Providers of New Hampshire, PLLCGroup PAC ID 8325149651, 9 clinicians

Practice addresses (Care Compare)

1 Scammell St
Quincy, MA 02169-6706
Phone (617) 773-1353

346 S Broadway
Suite 28
Salem, NH 03079-4375
Phone (603) 898-8560

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0913NHMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mass Optometric Associates, PLLC Optometrist CurrentSince Aug 1, 2015 Accepting new patients
Mass Optometric Associates, PLLC Optometrist CurrentSince Aug 1, 2015 Accepting new patients
Optometric Providers of New Hampshire, PLLC Optometrist CurrentSince Sep 24, 2015 Accepting new patients
Optometric Providers of New Hampshire, PLLC Optometrist CurrentSince Sep 24, 2015 Accepting new patients
Optometric Providers of New Hampshire, PLLC Optometrist Past Accepting new patients

Locations

700 Boston Rd
Billerica, MA 01821
Phone (978) 667-0481

1 Scammell St
Quincy, MA 02169
Phone (617) 773-1353

346 S Broadway
Salem, NH 03079
Phone (603) 898-8560

346 S Broadway
#28
Salem, NH 03079
Phone (603) 898-8560

175 E Houston St
Fl 5
San Antonio, TX 78205
Phone (210) 524-6922

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1440115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440115200000",
    "number": "1477920718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 DANIEL WEBSTER HWY",
            "address_2": "PHEASANT LANE MALL",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030605730",
            "telephone_number": "603-888-0853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 DANIEL WEBSTER HWY",
            "address_2": "PHEASANT LANE MALL",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030605730",
            "telephone_number": "603-888-0853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAKRIMI",
        "first_name": "AFSOON",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-21",
        "last_updated": "2015-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NH",
            "license": "0913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashua, NH

Sources for this page

Verify at the official NPI Registry.