Active NPI
Jana Wegrzyn, OD
- Optometrist
- Canton, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 4624
- Practice address
- 95 Washington St Ste 466
Canton, MA 02021-4008 - Phone
- (781) 821-0874
- NPI assigned
- Jan 7, 2008
- Last updated
- Sep 10, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 4624 | MA | Primary |
Addresses
Primary practice location
95 Washington St Ste 466
Canton, MA 02021-4008
Mailing address
60 Saint Joseph St
Jamaica Plain, MA 02130-3818
Phone (617) 943-3886
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| W16548 | Other | MA | BC/BS |
| 9334208 | Other | MA | AETNA |
| AA122064 | Other | MA | HARVARD PILGRIM |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- New England College of Optometry, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
95 Washington St
Suite 466
Canton, MA 02021-4008
Phone (508) 257-1516
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0890 | NH | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Myeyedr Optometry of Massachusetts P C | Optometrist | Current | Accepting new patients |
| Lumen Vision Care | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Massachusetts P C | Optometrist | Current | Accepting new patients |
| Redstone Eye Associates, LLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Massachusetts P C | Optometrist | Current | Accepting new patients |
| David M Luria OD PC | Optometrist | Past | Accepting new patients |
| Aeg Massachusetts Professional PC | Optometrist | Past | Accepting new patients |
Locations
22 University Dr
Amherst, MA 01002
Phone (413) 549-9400
495 Cabot St
Ste 1
Beverly, MA 01915
Phone (978) 921-5000
95 Washington St
Ste 466
Canton, MA 02021
Phone (508) 257-1516
164 Sylvan St
Danvers, MA 01923
Phone (978) 744-4500
75 Main St
Stoneham, MA 02180
Phone (781) 438-2505
253 Boston St
Topsfield, MA 01983
Phone (978) 887-0068
1950 Old Gallows Rd
Ste 520
Vienna, VA 22182
8614 Westwood Center Dr
Fl 9
Vienna, VA 22182
Organizations & group practices 7
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.
-
- Optometrist
- Canton, MA
- NPI 1821875279
-
- Optometrist
- Stoneham, MA
- NPI 1982783676
-
- Optometrist
- North Andover, MA
- NPI 1922971415
-
- Optometrist
- Andover, MA
- NPI 1952035040
-
- Optometrist
- Cambridge, MA
- NPI 1659584027
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199664000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694304000000",
"number": "1629253877",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "60 SAINT JOSEPH ST",
"city": "JAMAICA PLAIN",
"state": "MA",
"postal_code": "021303818",
"telephone_number": "617-943-3886"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "95 WASHINGTON ST STE 466",
"city": "CANTON",
"state": "MA",
"postal_code": "020214008",
"telephone_number": "781-821-0874"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEGRZYN",
"first_name": "JANA",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-01-07",
"last_updated": "2023-09-10",
"certification_date": "2023-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MA",
"license": "4624",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS",
"identifier": "W16548",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "9334208",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM",
"identifier": "AA122064",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Canton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.