Active NPI
Mehrnoosh Ashabi, O.D
- Optometrist
- Everett, MA
National Provider Identifier
1811089055
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 3964
- Practice address
- 1 Mystic View Rd
Everett, MA 02149-2428 - Phone
- (617) 381-7580
- NPI assigned
- Sep 28, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 11001T | CA | |
| Optometrist | 152W00000X | 3964 | MA | Primary |
Addresses
Primary practice location
1 Mystic View Rd
Everett, MA 02149-2428
Mailing address
88 Lordvale Blvd
North Grafton, MA 01536-1130
Phone (617) 381-7580
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140221000000 | WI | Practitioner - Optometry | 1658501515 | Practice locations: Grand Chute, WI |
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- New England College of Optometry, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
5401 W Integrity Way
Grand Chute, WI 54913-8602
Phone (920) 363-7015
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11001T | CA | MD | Optometrist |
| 3964 | MA | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1353283200000",
"number": "1811089055",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "88 LORDVALE BLVD",
"city": "NORTH GRAFTON",
"state": "MA",
"postal_code": "015361130",
"telephone_number": "617-381-7580"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 MYSTIC VIEW RD",
"city": "EVERETT",
"state": "MA",
"postal_code": "021492428",
"telephone_number": "617-381-7580"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ASHABI",
"first_name": "MEHRNOOSH",
"name_prefix": "Dr.",
"credential": "O.D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-28",
"last_updated": "2012-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "11001T",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MA",
"license": "3964",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Everett, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 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.
- 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.