Individual
PHYLLIS ANDREJKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
4199 WASHINGTON STREET, SUITE 2, NEW ENGLAND EYE ROSLINDALE, ROSLINDALE, MA 02131
(617) 587-5520
Mailing address
940 COMMONWEALTH AVE, NEW ENGLAND EYE INSTITUTE, BOSTON, MA 02215
(617) 587-5511
(617) 587-5512
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4021
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0018540
NHP
—
05
—
0708381
—
MA
01
—
152186
HARVARD PILGRIM HEALTH CA
—
01
—
2008451
CIGNA
—
01
—
2500346
UNITED HEALTH CARE
—
01
—
467450
TUFTS HEALTH PLAN
MA
01
—
AA119306
HARVARD PILGRIM
—
01
—
MA4021
EYEMED
—
01
—
W16351
BLUE CROSS BLUE SHIELD OF
—
Enumeration date
05/16/2006
Last updated
08/13/2008
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