Dr Jennifer Velasco, OD | |
138 Haverhill St Ste 104, Andover, MA 01810-1501 | |
(978) 475-0705 | |
Not Available |
Full Name | Dr Jennifer Velasco |
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Gender | Female |
Speciality | Optometrist |
Location | 138 Haverhill St Ste 104, Andover, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1467604520 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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152W00000X | Optometrist | OPT5708 (Massachusetts) | Primary |
Provider Name | Andover Eye Associates, Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1588678551 PECOS PAC ID: 4486627866 Enrollment ID: O20040813001121 |
Mailing Address | Practice Location Address |
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Dr Jennifer Velasco, OD 4 Wallace Rd, Lynn, MA 01902-2012 Ph: (617) 396-4056 | Dr Jennifer Velasco, OD 138 Haverhill St Ste 104, Andover, MA 01810-1501 Ph: (978) 475-0705 |
John Deshaies, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 15 Central St, Andover, MA 01810 Phone: 978-475-5252 Fax: 978-475-2226 | |
Dr. Catherine A Bergschneider, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 15 Central St, Andover, MA 01810 Phone: 978-475-5252 Fax: 978-475-2226 | |
Gladys Mayancela Pichizaca, OD Optometrist Medicare: Medicare Enrolled Practice Location: 15 Central St, Andover, MA 01810 Phone: 978-475-5252 |