SIRI BOONSIRISERMSOOK (O.D.) – Optometrist, NPI 1740369537

SIRI BOONSIRISERMSOOK (O.D.) is a healthcare provider. based in Stoneham, Massachusetts. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 4307 (MA). The NPI Number for SIRI BOONSIRISERMSOOK (O.D.) is 1740369537

Main info

Female
24 Years Of Experience
Accepts Medicare Assignment
Name
SIRI BOONSIRISERMSOOK (O.D.)
NPI
1740369537
Phone
(781) 438-3372
Address
75 MAIN ST
Enumeration Date
3 November 2006
Last Update Date
9 July 2007

Doctor Profile

Medical School Name
ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Secondary Phone
7814383372
Graduation Year
2002 (24 years ago)
PAC ID
1355394354
Group Practice PAC ID
7517911092
Professional Enrollment ID
I20050302000602
Address ID
MA021803305ST75XXXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,116 OPTOMETRY in MA

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Provider Addresses for SIRI BOONSIRISERMSOOK (O.D.)

  • 65;67;69;71;73;75;79;81;83;85;87;89;91;93;95;97;99;99A;99B;99C;99D;99E, Main Street, Farm Hill, Stoneham, Middlesex County, Massachusetts, 02180, United States

    STONEHAM, MA 021803305

    Phone: (781) 438-3372

    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)

CMS reports 15 Open Payments records for all available years, with a total value of $750.

Total Amount is formed as General ($750) + Research ($0) + Ownership ($0) = $750.

Last reported payment date: 2024-10-02 • Largest payer in this snapshot: Alcon Vision LLC ($409).

Total Amount

$750

General + Research + Ownership

Payments

15

Total payment records

General Amount

$750

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-02

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2005-03-02

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
I20050302000602IOptometryMATBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92014Established patient complete exam of visual system10481$0
92004New patient complete exam of visual system4343$0
92250Photography of the retina1515$0
View full utilization report →

Insurance plans in this area (ZIP 02180)

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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: 7517911092View full group profile
NameSpecialtyState
O P T O M E T R YMA
O P T O M E T R YLA
O P T O M E T R YIL

Reviews

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Frequently asked questions

What NPI should I save for SIRI BOONSIRISERMSOOK (O.D.)?
Save NPI 1740369537 if you need a stable reference for SIRI BOONSIRISERMSOOK (O.D.).
Is SIRI BOONSIRISERMSOOK (O.D.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize SIRI BOONSIRISERMSOOK (O.D.)'s specialty in plain language?
Clinically, the directory lists SIRI BOONSIRISERMSOOK (O.D.) with Optometrist. Clinical services aligned with this taxonomy classification.
Does SIRI BOONSIRISERMSOOK (O.D.) practice in Massachusetts?
You will see Stoneham, Massachusetts on file for SIRI BOONSIRISERMSOOK (O.D.) alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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