Basic Information
Provider Information
NPI: 1427662972
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: POKHAREL
FirstName: AMRIT
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: OD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 18 ASHLAND WOODS LN
Address2:  
City: ASHLAND
State: MA
PostalCode: 017214418
CountryCode: US
TelephoneNumber: 5714571971
FaxNumber:  
Practice Location
Address1: 100 CROSSING BLVD STE 300
Address2:  
City: FRAMINGHAM
State: MA
PostalCode: 017025555
CountryCode: US
TelephoneNumber: 8889646681
FaxNumber: 8886620859
Other Information
ProviderEnumerationDate: 09/02/2020
LastUpdateDate: 08/05/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 08/05/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
152W00000X5449MAY Eye and Vision Services ProvidersOptometrist 

No ID Information.


Home