Deborah L Wayne

Primary specialty

OptometristTaxonomy code 152W00000X

License

3063 Issued in MA

Legal business name

DEBORAH L WAYNE

Doing business as

Dr. Deborah Wayne

Practice address

380 Broadway
Chelsea, MA 02150-2871

Phone

(617) 884-1222

Fax

(617) 884-2283

NPI assigned

May 15, 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, OD

Title

Owner

Phone

(617) 884-1222

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Dr. Deborah Wayne Doing business as

Locations

Practitioners 1

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

• Crystal J Klaahsen, O.D.

  • Optometrist
  • Cambridge, MA
  • NPI 1528076288
  NPD (past)

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203379200000",
    "number": "1518173996",
    "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": "781-231-2242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 BROADWAY",
            "city": "CHELSEA",
            "state": "MA",
            "postal_code": "021502871",
            "telephone_number": "617-884-1222",
            "fax_number": "617-884-2283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEBORAH L WAYNE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2008-02-19",
        "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": "617-884-1222",
        "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": "0349208",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9749195",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Deborah Wayne",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jessica Sophia De Leon
• Kate De Leon, LICSW
• Yanexa R De Leon
• Manuel De Pena
• Alba De Simone, PHD
• Jennifer Marie Decourcey
• Yesenia Dejesus
• Tiana Micaela Delano
• Isabella Delgado Jaramillo
• Valdiza Demoura

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2008; 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.