Physician Compare National (NPI:1689773434)

HEALTHCARE PROVIDER: FIRAS PETER KASSIRA O.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1689773434
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	9032265996
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20090917000180
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	KASSIRA
	Individual professional last name
Provider First Name	FIRAS
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	NEW ENGLAND COLLEGE OF OPTOMETRY
	Individual professional's medical school
Graduation Year	1990
	Individual professional's medical school graduation year
Primary Specialty	OPTOMETRY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	109 MASONIC HOME RD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 6
	Group Practice or individual's line 2 address
City	CHARLTON
	Group Practice or individual's city
State	MA
	Group Practice or individual's state
Zip Code	015076301
	Group Practice or individual's zip code (9 digits when available)
Phone Number	5087559051
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	220163
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	UMASS MEMORIAL MEDICAL CENTER/UNIVERSITY CAMPUS
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y