Individual
LISA RUBIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
146 INDUSTRIAL PARK RD, PLYMOUTH, MA 02360
(508) 833-6000
Mailing address
146 INDUSTRIAL PARK RD, PLYMOUTH, MA 02360
(508) 833-6000
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3782
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0030174
NHP
MA
05
—
0312495
—
MA
01
—
1013834
AETNA
—
01
—
152472
HPHC
MA
01
—
1950013
UHC
—
01
—
5484065-001
CIGNA
—
01
—
762452
TUFTS
MA
01
—
RWW16110
BCBS
MA
Enumeration date
07/28/2006
Last updated
12/20/2021
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