Individual
DR. STIVIA DEMIRI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
24 WEBSTER PL, BROOKLINE, MA 02445-7937
(617) 202-2020
(617) 734-3264
Mailing address
419 FELLSWAY E, MALDEN, MA 02148-2326
(781) 321-8229
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
030.0133949
VT
152W00000X
Optometrist
Primary
5629
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
030.0133949
VERMONT LICENSE
VT
01
—
5629
MASSACHUSETTS LICENSE
MA
Enumeration date
08/26/2021
Last updated
07/18/2025
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