Faryal Azam, O.D

Primary specialty

OptometristTaxonomy code 152W00000X

License

5452 Issued in MA

Practice address

1 Washington St
Wellesley, MA 02481-1711

Phone

(781) 263-7360

Fax

(781) 263-7360

NPI assigned

Aug 8, 2012

Last updated

Jan 9, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in PA, DC, MA, NJ4 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 4

Specialty

Optometry

Education

New England College of Optometry, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

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

• Complete Eye Care LLC

  • Optometrist
  • Lawrence Township, NJ
  • NPI 1396528154
  Medicare reassignment NPD Authorized official
• Myeyedr Optometry of Massachusetts P C

  dba MyEyeDr.

  • Optometrist
  • Amherst, MA
  • NPI 1124534946
  Medicare reassignment NPD
• Blake a Housler OD Inc

  dba Allegheny Eye Care

  • Optometrist
  • Kane, PA
  • NPI 1407046451
  Medicare reassignment NPD
• Myeyedr Optometry of DC, LLC

  dba MyEyeDr.

  • Optometrist
  • Washington, DC
  • NPI 1891105458
  Medicare reassignment NPD
• Myeyedr Optometry of Pennsylvania, LLC

  dba MyEyeDr.

  • Optometrist
  • Carlisle, PA
  • NPI 1003264607
  Medicare reassignment NPD
• Myeyedr Optometry of Massachusetts P C

  dba MyEyeDr.

  • Optometrist
  • Wellesley, MA
  • NPI 1255993028
  NPD
• Myeyedr Optometry of Massachusetts P C

  • Optometrist
  • North Andover, MA
  • NPI 1922971415
  NPD
• Myeyedr Optometry of DC, LLC

  dba MyEyeDr.

  • Optometrist
  • Washington, DC
  • NPI 1114814381
  NPD
• Myeyedr Optometry of DC, LLC

  dba MyEyeDr.

  • Optometrist
  • Washington, DC
  • NPI 1689330490
  NPD
• Myeyedr Optometry of Florida, LLC

  dba MyEyeDr.

  • Optometrist
  • Tallahassee, FL
  • NPI 1073907028
  NPD
• Myeyedr Optometry of Pennsylvania, LLC

  • Optometrist
  • Cranberry Township, PA
  • NPI 1093688491
  NPD
• Myeyedr Optometry of Pennsylvania, LLC

  dba MyEyeDr.

  • Optometrist
  • Carlisle, PA
  • NPI 1659720753
  NPD

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

{
    "created_epoch": "1344384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704758400000",
    "number": "1538416698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 OLD GALLOWS RD STE 520",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823970",
            "telephone_number": "703-847-8899",
            "fax_number": "866-795-4020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 WASHINGTON ST",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024811711",
            "telephone_number": "781-263-7360",
            "fax_number": "781-263-7360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AZAM",
        "first_name": "FARYAL",
        "name_prefix": "Dr.",
        "credential": "O.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-08",
        "last_updated": "2024-01-09",
        "certification_date": "2024-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "TPOP63",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "5452",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00721400",
            "primary": false
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "PA",
            "license": "OEG002637",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Autism Services Association, Inc.
• Joseph Charles Avellone III, M.D.
• Tali Averbuch, CNM
• Paul J Axelrod, M.D.
• Patricia D Ayer, NP
• Eleonora Azenstein, NP
• Donald M Bachman, MD
• Brian P Backner, MD
• Lucas Baker-Siroty, PSY.D.
• Allison Scott Baker, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2024; 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.