Provider Demographics
NPI:1811089055
Name:ASHABI, MEHRNOOSH (OD)
Entity type:Individual
Prefix:DR
First Name:MEHRNOOSH
Middle Name:
Last Name:ASHABI
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:88 LORDVALE BLVD
Mailing Address - Street 2:
Mailing Address - City:NORTH GRAFTON
Mailing Address - State:MA
Mailing Address - Zip Code:01536-1130
Mailing Address - Country:US
Mailing Address - Phone:617-381-7580
Mailing Address - Fax:
Practice Address - Street 1:1 MYSTIC VIEW RD
Practice Address - Street 2:
Practice Address - City:EVERETT
Practice Address - State:MA
Practice Address - Zip Code:02149-2428
Practice Address - Country:US
Practice Address - Phone:617-381-7580
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-28
Last Update Date:2012-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA11001T152W00000X
MA3964152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist