Individual
JANA WEGRZYN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
95 WASHINGTON ST STE 466, CANTON, MA 02021-4008
(781) 821-0874
Mailing address
60 SAINT JOSEPH ST, JAMAICA PLAIN, MA 02130-3818
(617) 943-3886
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4624
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9334208
AETNA
MA
01
—
AA122064
HARVARD PILGRIM
MA
01
—
W16548
BC/BS
MA
Enumeration date
01/07/2008
Last updated
09/10/2023
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