Organization
DR. DEBORAH WAYNE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEBORAH LYNN WAYNE OD (OWNER)
(781) 321-3222
Entity
Organization
Contact information
Practice address
702 SALEM ST, MALDEN, MA 02148-4413
(781) 321-3222
(781) 324-2922
Mailing address
12 RANDELL RD, SAUGUS, MA 01906-3125
(781) 233-2242
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3063
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0349208
—
MA
05
—
9749195
—
MA
05
—
9763775
—
MA
Enumeration date
05/22/2007
Last updated
08/22/2020
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