Maryam Fattahy, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

4045 Issued in MA

Practice address

407 Boston Post Rd
Weston, MA 02493-1552

Phone

(781) 850-2069

NPI assigned

May 12, 2006

Last updated

Oct 18, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Steven T. Perryman OD Inc.

  dba Hopkinton Vision Center

  • Optometrist
  • Hopkinton, MA
  • NPI 1275659088
  Medicare reassignment NPD
• Weston Optometric Associates PC

  • Optometrist
  • Weston, MA
  • NPI 1932489457
  NPD (past) Authorized official

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350518400000",
    "number": "1528019775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 BOSTON POST RD",
            "city": "WESTON",
            "state": "MA",
            "postal_code": "024931552",
            "telephone_number": "781-850-2069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 BOSTON POST RD",
            "city": "WESTON",
            "state": "MA",
            "postal_code": "024931552",
            "telephone_number": "781-850-2069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FATTAHY",
        "first_name": "MARYAM",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-12",
        "last_updated": "2012-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "4045",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0371700",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Epoch Senior Healthcare of Weston, LLC (EPOCH Senior Healthcare of Weston)
• Anne F Fabre
• Kathryn Helen Fairbend, MS
• Kevin M Fairley, APN-BC
• Marguerite Mary Fallon, D.M.D.
• Dahlia Phyllis Filban
• Maureen Filippine, MD
• Conor Finnegan
• Richard Paul Floyd, MD
• Siri Mamounge Fobanjong

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2012; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.