Individual provider Active NPI

Jana Wegrzyn, OD

  • Optometrist
  • Canton, MA
National Provider Identifier
1629253877
Registry record updated Sep 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4624 Issued in MA
Practice address
95 Washington St Ste 466
Canton, MA 02021-4008
Phone
(781) 821-0874
NPI assigned
Jan 7, 2008
Last updated
Sep 10, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
W16548OtherMABC/BS
9334208OtherMAAETNA
AA122064OtherMAHARVARD 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080220000255 MA Practitioner - Optometry 0749364404 Reassigns benefits to 3 organizations

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

LicenseStateTypeSpecialty
0890NHMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of Massachusetts P C Optometrist Current Accepting new patients
Lumen Vision Care Optometrist CurrentSince Oct 1, 2023 Accepting new patients
Myeyedr Optometry of Massachusetts P C Optometrist CurrentSince Nov 9, 2020 Accepting new patients
Redstone Eye Associates, LLC Optometrist CurrentSince Feb 23, 2015 Accepting new patients
Myeyedr Optometry of Massachusetts P C Optometrist CurrentSince Nov 9, 2020 Accepting new patients
David M Luria OD PC Optometrist PastSince Nov 1, 2007 Accepting new patients
Aeg Massachusetts Professional PC Optometrist PastSince Mar 21, 2025 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.

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

Verify at the official NPI Registry.