Individual
ROBERT M. CONDON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
300 PROVIDENCE HWY, DEDHAM, MA 02026-1875
(781) 471-7095
Mailing address
1024 FRONT ST, WEYMOUTH, MA 02190-1810
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2215
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0399167
—
MA
01
—
152756
HARVARD PILGRIM HEALTH CA
MA
01
—
22-00672
UNITED HEALTH CARE
MA
01
—
410043019
RAILROAD MEDICARE
MA
01
—
W16102
BLUE CROSS BLUE SHIELD
MA
Enumeration date
12/20/2005
Last updated
10/24/2025
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