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General NPI Number Information
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NPI Number | 1962422741
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Entity Type | Organization
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Legal Business Name | NEWTON WELLESLEY EYE ASSOCIATES, P.C.
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Dates
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Enumeration Date | 07/21/2006
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Last Update Date | 11/05/2025
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Provider Practice Location Address
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Address Line | 60 WALNUT ST
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City | WELLESLEY
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State | MA
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Zip | 02481-2151
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Country | US
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Telephone | 617-964-1050
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Fax | 617-964-6449
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Provider Business Mailing Address
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Address Line | 60 WALNUT ST
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City | WELLESLEY
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State | MA
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Zip | 02481-2151
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Country | US
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Telephone | 617-964-1050
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Fax | 617-964-6449
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Authorized Official
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Title or Position | MD
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Name | JILL N CARMODY
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Credential |
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Telephone | 617-964-1050
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number |
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License Number State |
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