Individual
RICHARD J JAMARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
12 GALLAGHER DR, RANDOLPH, MA 02368-5240
(781) 986-7558
(781) 986-7558
Mailing address
12 GALLAGHER DR, RANDOLPH, MA 02368-5240
(617) 236-6291
(617) 424-9202
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2874
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000022616
BMC HEALTHNET
MA
01
—
0023814
NHP
MA
05
—
0353108
—
MA
01
—
709616
TUFTS
MA
01
—
AA21586
HARVARD PILGRIM
MA
01
—
S022123
TRICARE
MA
01
—
W15641
BLUE CROSS BLUE SHIELD
MA
Enumeration date
09/27/2006
Last updated
01/13/2020
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