Healthcare Provider Details

I. General information

NPI: 1376379149
Provider Name (Legal Business Name): TWINKLE SEHGAL OD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/10/2024
Last Update Date: 04/21/2026
Certification Date: 04/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9 SYLVAN ST
PEABODY MA
01960-1606
US

IV. Provider business mailing address

9 SYLVAN ST
PEABODY MA
01960-1606
US

V. Phone/Fax

Practice location:
  • Phone: 978-532-1022
  • Fax: 978-532-8782
Mailing address:
  • Phone: 978-532-1022
  • Fax: 978-532-8782

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number5736
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: