Active NPI
Kiana Kaymanesh, O.D.
- Optometrist
- Bedford, MA
National Provider Identifier
1942346606
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 4184
- Practice address
- 200 Great Rd
Suite 6a
Bedford, MA 01730-2711 - Phone
- (781) 275-1828
- NPI assigned
- Jan 29, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 4184 | MA | Primary |
Addresses
Primary practice location
200 Great Rd
Suite 6a
Bedford, MA 01730-2711
Mailing address
18 Landmark Rd
Westford, MA 01886-4426
Phone (617) 755-5707
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: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20051017000322 | MA | Practitioner - Optometry | 3678599974 | Practice locations: Bedford, MA |
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Southern College of Optometry, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
200 Great Rd
Suite 6a
Bedford, MA 01730-2714
Phone (781) 275-1828
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1190851200000",
"number": "1942346606",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18 LANDMARK RD",
"city": "WESTFORD",
"state": "MA",
"postal_code": "018864426",
"telephone_number": "617-755-5707"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 GREAT RD",
"address_2": "SUITE 6A",
"city": "BEDFORD",
"state": "MA",
"postal_code": "017302711",
"telephone_number": "781-275-1828"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAYMANESH",
"first_name": "KIANA",
"name_prefix": "Mrs.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-29",
"last_updated": "2007-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MA",
"license": "4184",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bedford, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2007; 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.