Provider Demographics
NPI:1477920718
Name:TAKRIMI, AFSOON
Entity Type:Individual
Prefix:DR
First Name:AFSOON
Middle Name:
Last Name:TAKRIMI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:310 DANIEL WEBSTER HWY
Mailing Address - Street 2:PHEASANT LANE MALL
Mailing Address - City:NASHUA
Mailing Address - State:NH
Mailing Address - Zip Code:03060-5730
Mailing Address - Country:US
Mailing Address - Phone:603-888-0853
Mailing Address - Fax:
Practice Address - Street 1:310 DANIEL WEBSTER HWY
Practice Address - Street 2:PHEASANT LANE MALL
Practice Address - City:NASHUA
Practice Address - State:NH
Practice Address - Zip Code:03060-5730
Practice Address - Country:US
Practice Address - Phone:603-888-0853
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-08-21
Last Update Date:2015-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH0913152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist