Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Samira Sadat Mortazavi, OD

Individual provider Optometrist · NPI 1992436786

Samira Sadat Mortazavi, OD is an Optometry in Boston, Massachusetts. Qualified in 2022, 4 years ago. Practices with Massachusetts Eye and Ear Associates, Inc, a 410-clinician group and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
4
Licensed in
MA
In the registry since
2022
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

243 Charles St
Boston, MA 02114-3096
Phone: (617) 573-4177
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 5631 (MA)

Record details

NPI number1992436786
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorNo
NPI enumeratedJune 22, 2022
Last updated in NPPESAugust 8, 2023
Certification dateAugust 8, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Massachusetts Eye And Ear Associates, Inc — 410 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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