Dr. Deborah Wayne

Primary specialty

OptometristTaxonomy code 152W00000X

License

3063 Issued in MA

Legal business name

DR. DEBORAH WAYNE

Practice address

702 Salem St
Malden, MA 02148-4413

Phone

(781) 321-3222

Fax

(781) 324-2922

NPI assigned

May 22, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Deborah Lynn Wayne, ODNPI 1609884295

Title

Owner

Phone

(781) 321-3222

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Deborah L Wayne, O.D.

  • Optometrist
  • Chelsea, MA
  • NPI 1609884295
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376752774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 RANDELL RD",
            "city": "SAUGUS",
            "state": "MA",
            "postal_code": "019063125",
            "telephone_number": "781-233-2242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 SALEM ST",
            "city": "MALDEN",
            "state": "MA",
            "postal_code": "021484413",
            "telephone_number": "781-321-3222",
            "fax_number": "781-324-2922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. DEBORAH WAYNE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WAYNE",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "781-321-3222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "MA",
            "license": "3063",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9749195",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9763775",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0349208",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Malden, MA
• Providers in Malden, MA by specialty
• Optometrist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.