Individual provider Active NPI

Mahnaz Nouri, M.D.

  • Ophthalmology Physician
  • Boston, MA
National Provider Identifier
1629000112
Registry record updated Nov 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
209639 Issued in MA
Practice address
400 Commonwealth Ave Ste 2
Boston, MA 02215-2813
Phone
(617) 651-0938
NPI assigned
Jul 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 209639 MA Primary

Addresses

Primary practice location

400 Commonwealth Ave Ste 2
Boston, MA 02215-2813

Mailing address

250 Hammond Pond Pkwy
Unit 505North
Chestnut Hill, MA 02467-1533
Phone (617) 651-0938

Medicare participation

Medicare enrollment files
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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050106000801 MA Practitioner - Ophthalmology 0648228692 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Boston University School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1101 Beacon St
Brookline, MA 02446-5587
Phone (617) 651-0938

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
209639MAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians Eye Care, LLC. Ophthalmology CurrentSince Dec 12, 2016 Accepting new patients
Post Oconnor & Kadrmas Eye Centers P C Ophthalmology PastSince Nov 1, 2015 Accepting new patients

Locations

400 Commonwealth Ave
Ste 2
Boston, MA 02215
Phone (617) 426-0370

1101 Beacon St
Ste 1
Brookline, MA 02446
Phone (617) 651-0938

Interoperability endpoints

  • Direct secure messaging: mahnaz.nouri.p1@direct.bostoneyegroup.nextgenshare.com

Organizations & group practices 2

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": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510531200000",
    "number": "1629000112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 HAMMOND POND PKWY",
            "address_2": "UNIT 505NORTH",
            "city": "CHESTNUT HILL",
            "state": "MA",
            "postal_code": "024671533",
            "telephone_number": "617-651-0938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 COMMONWEALTH AVE STE 2",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022152813",
            "telephone_number": "617-651-0938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOURI",
        "first_name": "MAHNAZ",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-07",
        "last_updated": "2017-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MA",
            "license": "209639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.