MEDICARE: DR. JUDITH R DARROW OD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	3566	MA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	9894	OTHER		UNICARE
2	759149	OTHER		TUFTS
3	8869163	OTHER	MA	HEALTHSOURCE
4	W15935	OTHER		BS-BLUE CARE ELECT
5	0356158	OTHER		MASS HEALTH
6	150564	OTHER		HARVARD PILGRIM
7	27366	OTHER		CHILDRENS MEDICAL SECURIT
8	759149	OTHER		TUFTS BENEFITS ADMIN
9	759149	OTHER		TUFTS SECURE HORIZONS
10	8669163	OTHER		CIGNA HEALTH CARE
11	U12537	OTHER		FIRST SENIORITY
12	W15935	OTHER		HMO BLUE/BLUE CHOICE
13	0003271	OTHER		NEIGHBORHOOD HEALTH PLAN
14	150564	OTHER		HARVARD PILGRIM POS
15	150564	OTHER		HARVARD PILGRIM PPO
16	759149	OTHER		TUFTS COMMONWEALTH PPO
17	W15935	OTHER		BS INDEMNITY

General Provider Information

NPI Number	:	1205834496
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JUDITH R DARROW OD

Provider Business Mailing Address
First Line	:	4199 WASHINGTON ST UNIT 2
Second Line	:
City	:	ROSLINDALE
State	:	MA
Zip	:	02131-1733
Country	:	US
Telephone Number	:	617-323-7300
Fax Number	:	781-234-0279

Provider Business Practice Location Address
First Line	:	4199 WASHINGTON ST UNIT 2
Second Line	:
City	:	ROSLINDALE
State	:	MA
Zip	:	02131-1733
Country	:	US
Telephone Number	:	617-323-7300
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/12/2005
Last Update Date	:	12/03/2021

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