Active NPIIndividual provider

Shaunt Fereshetian, MD

Ophthalmology in Peabody, Massachusetts

NPI Number1356910061
Practice location
31 Centennial Dr, Peabody, MA 01960-7901
Fax
—
Last updated
June 28, 2025

Shaunt Fereshetian is an Ophthalmology based in Peabody, MA. Shaunt Fereshetian practices in Peabody, MA and has the professional credentials of MD. The NPI Number for Shaunt Fereshetian is 1356910061 and holds a License No. LP05431 (RI). The current practice location address for Shaunt Fereshetian is 31 Centennial Dr, Peabody, MA 01960-7901 and can be reached out via phone at 978-531-4400.

Provider Profile Details

NPI Number
1356910061
Provider Name
Shaunt Fereshetian
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
31 Centennial Dr, Peabody, MA 01960-7901
Phone Number
978-531-4400
Primary Taxonomy
Ophthalmology · 207W00000X
Sole Proprietor
No
Provider Enumeration Date
June 18, 2021
Last Update Date
June 28, 2025
Certification Date
June 28, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
31 Centennial Dr
Peabody, MA 01960-7901
Zip
01960-7901
Phone Number
978-531-4400
Peabody, MA 01960Get directions →

Provider Business Mailing Address Details

Address
31 Centennial Dr
Peabody, MA 01960-7901
City
Peabody
State
MA
Zip
01960-7901
Phone Number
978-531-4400

License Information

License Number (1)
LP05431
License State (1)
RI
License Number (2)
1021690
License State (2)
MA
Taxonomy (2)
Ophthalmology · 207W00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Shaunt Fereshetian, MD?

The NPI number of Shaunt Fereshetian, MD is 1356910061. It was assigned on June 18, 2021 and is currently active in the NPPES registry.

What is the specialty of Shaunt Fereshetian, MD?

Shaunt Fereshetian, MD is registered under the primary taxonomy Ophthalmology (code 207W00000X), licensed in RI under license number LP05431.

Where does Shaunt Fereshetian, MD practice?

The practice location is 31 Centennial Dr, Peabody, MA 01960-7901. The office can be reached at 978-531-4400 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1356910061 directly on the NPPES registry website.

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