Azadeh Kelly (NPI# 1699165357, PAC ID# 2567758873) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1699165357 |
| PAC ID by PECOS | 2567758873 |
| Professional Enrollment ID | I20160913002617 |
| Full Name | Azadeh Kelly |
| Organization Legal Name | VINCETT EYE CARE ASSOCIATES LTD |
| Address |
33 Broad St Boston MA 02109-4216 |
| Phone Number | 6177427200 |
| Gender | F |
| Medical School | WESTERN UNIV OF HEALTH SCIENCES COL OF DENTAL MED, POMONA CA |
| Graduation Year | 2014 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 2769437326 |
| Number of Group Practice Members | 12 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 33 Broad St, Boston, MA 02109-4216 | 6177427200 | VINCETT EYE CARE ASSOCIATES LTD |
| Organization Legal Name | VINCETT EYE CARE ASSOCIATES LTD |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William K. Vincett, Jr Jr. | Optometry | Vincett Eye Care Associates Ltd | 645 Rodi Rd, Suite 100, Pittsburgh, PA 15235-4569 |
| Wesley Cox | Optometry | Vincett Eye Care Associates Ltd | 645 Rodi Rd, Suite 100, Pittsburgh, PA 15235-4569 |
| Joy Huang | Optometry | Vincett Eye Care Associates Ltd | 1 Washington St, Suite 101, Wellesley, MA 02481-1706 |
| Street Address |
33 BROAD ST |
| City | BOSTON |
| State | MA |
| Zip | 02109-4216 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mai Ngoc Luu | Optometry | Myeyedr Optometry of Massachusetts P C | 33 Broad St, Boston, MA 02109-4216 |
| Shirley Salomon | Optometry | Myeyedr Optometry of Massachusetts P C | 33 Broad St, Boston, MA 02109-4216 |
| Andrew H Chesnick | Optometry | Myeyedr Optometry of Massachusetts P C | 33 Broad St, Boston, MA 02109-4216 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Charmaine B Stephens | Nurse Practitioner | Integrated Wound Care Massachusetts Pllc | 90 Fulton St, Boston, MA 02109-1422 |
| Lee Orsky | Physician Assistant | One Medical Group, PC | 28 State St, Suite 2850, Boston, MA 02109-1775 |
| Michael Richardson | Family Medicine | One Medical Group, PC | 28 State St, Suite 2850, Boston, MA 02109-1775 |
| William J Meikrantz | Internal Medicine | One Medical Group, PC | 28 State St, Suite 2850, Boston, MA 02109-1775 |
| Shusmita Dhar | Pediatric Medicine | One Medical Group, PC | 28 State St, Suite 2850, Boston, MA 02109-1775 |
| Nicole Green | Physician Assistant | One Medical Group, PC | 28 State St, Suite 2850, Boston, MA 02109-1775 |
| Divya Dua | Internal Medicine | One Medical Group, PC | 28 State St, Suite 2850, Boston, MA 02109-1775 |
| Nicole M Pichette | Nurse Practitioner | One Medical Group, PC | 28 State St, Suite 2850, Boston, MA 02109-1775 |
| Julie A Sugarbaker | Nurse Practitioner | One Medical Group, PC | 28 State St, Suite 2850, Boston, MA 02109-1775 |
| Katrina Reiser | Nurse Practitioner | One Medical Group, PC | 28 State St, Suite 2850, Boston, MA 02109-1775 |
| Find all physicians in zip 02109 | |||
| City | BOSTON |
| Zip Code | 02109 |
| Specialty | OPTOMETRY |
| City + Specialty | BOSTON + OPTOMETRY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.