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NPI Code Detail

MEDICARE: DR. STEPHANIE A PARIS-WHITNEY O.D.

MEDICARE: DR. STEPHANIE A PARIS-WHITNEY O.D.
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
1152WC0802XCorneal and Contact Management Optometrist3675MA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
17704123OTHERCIGNA
2AA8378OTHERHPHC
3W22020OTHERMABCBS-MA
4755280OTHERTUFTS
542957OTHER1199 NATIONAL BENEFIT FUN
63442143OTHERAETNA/US HEALTHCARE

General Provider Information

NPI Number : 1265424758
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. STEPHANIE A PARIS-WHITNEY O.D.
Provider Business Mailing Address
First Line : 1601 TRAPELO RD
Second Line : SUITE 184
City : WALTHAM
State : MA
Zip : 02451-7333
Country : US
Telephone Number : 781-890-7797
Fax Number : 781-890-2507
Provider Business Practice Location Address
First Line : 1601 TRAPELO RD
Second Line : SUITE 184
City : WALTHAM
State : MA
Zip : 02451-7333
Country : US
Telephone Number : 781-890-7797
Fax Number : 781-890-2507
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/19/2005
Last Update Date : 08/04/2008

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