MEDICARE: ZOHREH SAFFARI STUDENT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	OPT8405	MA

General Provider Information

NPI Number	:	1639012917
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ZOHREH SAFFARI STUDENT

Provider Business Mailing Address
First Line	:	424 BEACON ST
Second Line	:
City	:	BOSTON
State	:	MA
Zip	:	02115-1129
Country	:	US
Telephone Number	:	617-266-2030
Fax Number	:

Provider Business Practice Location Address
First Line	:	65 NEWBURY AVE
Second Line	:
City	:	QUINCY
State	:	MA
Zip	:	02171-1919
Country	:	US
Telephone Number	:	918-904-0329
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/13/2026
Last Update Date	:	07/02/2026

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Directions to “ ZOHREH SAFFARI STUDENT” Practice Location

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