Individual
VICTORIA S YAMPOLSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
612 WASHINGTON ST, CANTON, MA 02021-3032
(781) 828-2212
(781) 828-1771
Mailing address
612 WASHINGTON ST, CANTON, MA 02021-3032
(781) 828-2212
(781) 828-1771
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4276
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0181650
—
MA
01
—
2201168
UNITED HEALTHCARE
MA
01
—
9941241
AETNA
MA
01
—
AA7142
HARVARD PILGRIM
MA
01
—
W16325
BLUE CROSS/BLUE SHIELD
MA
Enumeration date
07/12/2006
Last updated
03/03/2009
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