Individual
CHERYL BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
40 HOLLAND ST, SOMERVILLE, MA 02144-2705
(617) 629-6280
(617) 629-6275
Mailing address
40 HOLLAND ST, SOMERVILLE, MA 02144-2705
(617) 629-6280
(617) 629-6275
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2797
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0014527
NHP
MA
01
—
002797
TUFTS
MA
05
—
0339091
—
MA
01
—
3127893-002
CIGNA
MA
01
—
E105
HPHC
MA
01
—
W15586
BCBS
MA
Enumeration date
12/28/2006
Last updated
11/24/2020
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