Individual
LYNN WITTMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
ONE WASHINGTON STREET, SUITE 101, WELLESLEY, MA 02481
(617) 332-1471
(617) 332-2735
Mailing address
ONE WASHINGTON STREET, SUITE 101, WELLESLEY, MA 02481
(617) 332-1471
(617) 332-2735
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2589
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0035556
NHP
—
05
—
0316296
—
MA
01
—
15648
HPHC
—
01
—
2200480
UNITED
—
01
—
755278
TUFTS
—
01
—
B21146901
CIGNA
—
01
—
W16105
BCBS
—
Enumeration date
01/03/2007
Last updated
10/10/2013
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