Individual provider Active NPI

Deborah L Wayne, O.D.

  • Optometrist
  • Chelsea, MA
National Provider Identifier
1609884295
Registry record updated Sep 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3063 Issued in MA
Practice address
380 Broadway
Chelsea, MA 02150-2871
Phone
(617) 884-1222
Fax
(617) 884-2283
NPI assigned
Aug 3, 2006
Last updated
Sep 11, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3063 MA Primary

Addresses

Primary practice location

380 Broadway
Chelsea, MA 02150-2871

Mailing address

380 Broadway
Chelsea, MA 02150-2871
Phone (617) 884-1222

Other practice location 1

702 Salem St
Malden, MA 02148-4413
Phone (781) 321-3222

Other identifiers 13

IdentifierTypeStateIssuer
993799OtherMANETWORK HEALTH
AA2032OtherMAHP-MALDEN
042904443OtherMACMSP
725464OtherMATUFTS
7646OtherMADAVIS VISION CHEL
AA2031OtherMAHP-CHELSEA
0006203OtherMANHP
0349208MedicaidMA
DW13954OtherMASPECTERA
W15616OtherMABLUE CROSS BLUE SHIELD
0082980OtherMAUNITED HEALTH
112343OtherMAEYEMED
7645OtherMADAVIS VISION-MAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080731000282 MA Practitioner - Optometry 8426122086 Practice locations: Chelsea, MA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3063MAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Deborah Wayne Optometrist Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789084800000",
    "number": "1609884295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 BROADWAY",
            "city": "CHELSEA",
            "state": "MA",
            "postal_code": "021502871",
            "telephone_number": "617-884-1222",
            "fax_number": "617-884-2283"
        },
        {
            "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": [
        {
            "address_1": "702 Salem St",
            "address_purpose": "LOCATION",
            "city": "Malden",
            "state": "MA",
            "postal_code": "021484413",
            "country_code": "US",
            "telephone_number": "781-321-3222",
            "fax_number": "781-324-2922",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WAYNE",
        "first_name": "DEBORAH",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-03",
        "last_updated": "2026-09-11",
        "certification_date": "2026-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "3063",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NETWORK HEALTH",
            "identifier": "993799",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HP-MALDEN",
            "identifier": "AA2032",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CMSP",
            "identifier": "042904443",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "725464",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAVIS VISION CHEL",
            "identifier": "7646",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HP-CHELSEA",
            "identifier": "AA2031",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NHP",
            "identifier": "0006203",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0349208",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPECTERA",
            "identifier": "DW13954",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "W15616",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH",
            "identifier": "0082980",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED",
            "identifier": "112343",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAVIS VISION-MAL",
            "identifier": "7645",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chelsea, MA

Sources for this page

Verify at the official NPI Registry.