GRIGOR MARTIROSYAN (OD) – Optometrist, NPI 1023797503

GRIGOR MARTIROSYAN (OD) is a healthcare provider. based in Waltham, Massachusetts. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 5626 (MA). The NPI Number for GRIGOR MARTIROSYAN (OD) is 1023797503

Main info

Male
Sole Proprietor
4 Years Of Experience
Accepts Medicare Assignment
Name
GRIGOR MARTIROSYAN (OD)
NPI
1023797503
Phone
(617) 386-9471
Address
45 ALBERT ST
Enumeration Date
13 July 2023
Last Update Date
13 July 2023

Doctor Profile

Medical School Name
NEW ENGLAND COLLEGE OF OPTOMETRY
Secondary Phone
5085596699
Graduation Year
2022 (4 years ago)
PAC ID
9436505542
Group Practice PAC ID
3870491699
Professional Enrollment ID
I20231026000367
Address ID
MA023014042BR63XXXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

1,116 OPTOMETRY in MA

Provider Addresses for GRIGOR MARTIROSYAN (OD)

  • 45 ALBERT ST

    WALTHAM, MA 024531448

    Phone: (617) 386-9471

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-10-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20231026000367IOptometryMATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 02453)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3870491699View full group profile

Reviews

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Frequently asked questions

Where can patients find GRIGOR MARTIROSYAN (OD)'s NPI?
You can confirm GRIGOR MARTIROSYAN (OD) with NPI 1023797503; it appears in the national provider directory.
Is GRIGOR MARTIROSYAN (OD) currently active in the NPI registry?
CMS-published data lists GRIGOR MARTIROSYAN (OD) as an active registrant.
What does GRIGOR MARTIROSYAN (OD) treat or focus on?
Patients typically see GRIGOR MARTIROSYAN (OD) under the specialty Optometrist. Clinical services aligned with this taxonomy classification.
What location metadata exists for GRIGOR MARTIROSYAN (OD)?
The page summarizes Waltham, Massachusetts for GRIGOR MARTIROSYAN (OD); expand the address list for detail.
Is GRIGOR MARTIROSYAN (OD) a real provider?
This page reflects official NPPES data for NPI 1023797503. Always confirm identity and privileges with the practice and licensing boards.

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