Individual
IRWIN M SHWOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
421BROADWAY, EVERETT, MA 02149-3435
(617) 387-1904
(617) 387-2781
Mailing address
421BROADWAY, EVERETT, MA 02149-3435
(617) 387-1904
(617) 387-2781
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2848
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0006195
NEIGHBORHOOD HEALTH PLAN
MA
01
—
0240700001
DMERC MEDICARE
MA
05
—
0339598
—
MA
01
—
152123
HARVARD PILGRIM HEALTHCAR
MA
01
—
2200810
UNITED HEALTH CARE
MA
01
—
3526
FALLON COMMUNITY HEALTH
MA
01
—
410003507
RAILROAD MEDICARE
MA
01
—
708838
TUFTS HEALTH PLAN
MA
01
—
81119
AETNA
MA
01
—
98858501
NETWORK HEALTHCARE
MA
01
—
W15448
BC BS OF MASSACHUSETTS
MA
Enumeration date
11/30/2006
Last updated
07/08/2007
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