Individual
DR. TERRY NOEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2455 TP
MA
152WC0802X
Corneal and Contact Management Optometrist
2455TP
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
462261
TUFTS HEALTH PLAN
—
01
—
AA 51873
HARVARD PILGRIM
MA
01
—
W 16428
BLUE CROSS BLUE SHIELD
MA
Enumeration date
02/15/2007
Last updated
04/02/2022
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