| |
380 Broadway, Chelsea, MA 02150-2871 | |
(617) 884-1222 | |
(617) 884-2283 |
Full Name | |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 380 Broadway, Chelsea, Massachusetts |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1518173996 | NPI | - | NPPES |
0349208 | Medicaid | MA | |
9749195 | Medicaid | MA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 3063 (Massachusetts) | Primary |
Mailing Address | Practice Location Address |
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12 Randell Rd, Saugus, MA 01906-3125 Ph: (781) 231-2242 | 380 Broadway, Chelsea, MA 02150-2871 Ph: (617) 884-1222 |
Dr. Deborah L Wayne, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 380 Broadway, Chelsea, MA 02150 Phone: 617-884-1222 Fax: 617-884-2283 |