Azadeh Kelly, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

5075 Issued in MA

Practice address

33 Broad St Lbby 2
Boston, MA 02109-4229

Phone

(617) 742-7200

Fax

(617) 742-7272

NPI assigned

Feb 2, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Azadeh Karimi Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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 and National Provider Directory roles.

• Aeg Massachusetts Professional PC

  • Optometrist
  • Andover, MA
  • NPI 1952035040
  NPD
• Eyes on Randolph LLC

  • Optometrist
  • Randolph, MA
  • NPI 1861929598
  NPD
• Vision Care Specialists, P.C.

  • Low Vision Rehabilitation Optometrist
  • Southborough, MA
  • NPI 1568546968
  NPD
• Everett Sabree

  • Optometrist
  • Boston, MA
  • NPI 1528253390
  NPD (past)

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

{
    "created_epoch": "1422835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1699165357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 TURNPIKE RD",
            "address_2": "SUITE 7",
            "city": "SOUTHBOROUGH",
            "state": "MA",
            "postal_code": "017722114",
            "telephone_number": "508-481-8558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 BROAD ST LBBY 2",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021094229",
            "telephone_number": "617-742-7200",
            "fax_number": "617-742-7272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "AZADEH",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-02-02",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "AZ",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "5075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AZADEH",
            "last_name": "KARIMI",
            "credential": "OD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Abbie Kelly
• Amanda Kelly, CRNA
• Andrea Kelly, NP
• Anne E Kelly, NP
• Ashleigh Kelly, MD
• Barry Kelly, MB, BCH, BAO, MRCP,
• Bernice Kelly, PSYD
• Brian Joseph Kelly, D.O
• Bridget Kelly
• Brooke Elizabeth Kelly, PT, DPT

• 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 Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.