Healthcare Provider Details

I. General information

NPI: 1427662972
Provider Name (Legal Business Name): AMRIT POKHAREL OD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/02/2020
Last Update Date: 08/05/2021
Certification Date: 08/05/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 CROSSING BLVD STE 300
FRAMINGHAM MA
01702-5555
US

IV. Provider business mailing address

18 ASHLAND WOODS LN
ASHLAND MA
01721-4418
US

V. Phone/Fax

Practice location:
  • Phone: 888-964-6681
  • Fax: 888-662-0859
Mailing address:
  • Phone: 571-457-1971
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number5449
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: