Provider Demographics
NPI:1285604264
Name:AJOIAN, NAYIRI (OD)
Entity type:Individual
Prefix:DR
First Name:NAYIRI
Middle Name:
Last Name:AJOIAN
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 1:333 TRAPELO RD
Mailing Address - Street 2:
Mailing Address - City:BELMONT
Mailing Address - State:MA
Mailing Address - Zip Code:02478-1856
Mailing Address - Country:US
Mailing Address - Phone:617-484-7869
Mailing Address - Fax:617-484-7870
Practice Address - Street 1:333 TRAPELO RD
Practice Address - Street 2:
Practice Address - City:BELMONT
Practice Address - State:MA
Practice Address - Zip Code:02478-1856
Practice Address - Country:US
Practice Address - Phone:617-484-7869
Practice Address - Fax:617-484-7870
Is Sole Proprietor?:No
Enumeration Date:2006-01-24
Last Update Date:2024-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA4516152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0708313Medicaid
MA0708313Medicaid