Organization
DR JANIS F MERTZ PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JANIS FAITH MERTZ O.D. (PARTNER)
(508) 747-3937
Entity
Organization
Contact information
Practice address
36 CORDAGE PARK CIR, SUITE 108, PLYMOUTH, MA 02360-7331
(508) 747-3937
(508) 747-0104
Mailing address
10 WAGON WHEEL RD, PLYMOUTH, MA 02360-3481
(508) 747-3937
(508) 747-0104
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3047
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0356638
—
MA
01
—
AA2331
HARVARD PILGRIM
MA
01
—
W20489
BLUE CROSS BLUE SHIELD
MA
Enumeration date
06/11/2007
Last updated
03/21/2011
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