Organization
DEBORAH L WAYNE
Active
Other names
Dr. Deborah Wayne
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEBORAH LYNN WAYNE OD (OWNER)
(617) 884-1222
Entity
Organization
Contact information
Practice address
380 BROADWAY, CHELSEA, MA 02150-2871
(617) 884-1222
(617) 884-2283
Mailing address
12 RANDELL RD, SAUGUS, MA 01906-3125
(781) 231-2242
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
Enumeration date
05/15/2007
Last updated
02/19/2008
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