MEDICARE: WENDY L NEWMAN-EVANS 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
1	152W00000X	Optometrist	3263	MA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	0354104	OTHER	MASS HEALTH (DIV OF MED)
2	755245	OTHER	TUFTS TOTAL HEALTH PLAN
3	W15895	OTHER	BLUE SHIELD-INDEMNITY
4	755245	OTHER	TUFTS SECURE HORIZONS
5	9919	OTHER	DAVIS VISION (UNICARE)
6	MH1462	OTHER	FIRST SENIORITY
7	152159	OTHER	HARVARD PILGRIM POS
8	152159	OTHER	HARVARD PILGRIM PPO
9	2200482	OTHER	UNITED HEALTHCARE HMO PPO
10	0006356	OTHER	NEIGHBORHOOD HEALTH PLAN
11	152159	OTHER	HARVARD/PILGRIM
12	9455613	OTHER	HEALTHSOURCE MASSACHUSETT
13	27611	OTHER	CHILDREN'S MEDICAL SEC.
14	755245	OTHER	TUFTS
15	9455613	OTHER	CIGNA HEALTH CARE
16	755245	OTHER	TUFTS BENEFIT ADMIN.
17	755245	OTHER	TUFTS COMMONWEALTH PPO

General Provider Information

NPI Number	:	1881692598
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WENDY L NEWMAN-EVANS O.D.

Provider Business Mailing Address
First Line	:	1 CHASE DR
Second Line	:
City	:	SHARON
State	:	MA
Zip	:	02067-2904
Country	:	US
Telephone Number	:	617-557-8497
Fax Number	:	253-663-2060

Provider Business Practice Location Address
First Line	:	1 EDWARD ST
Second Line	:
City	:	CANTON
State	:	MA
Zip	:	02021-2303
Country	:	US
Telephone Number	:	781-828-3533
Fax Number	:	782-828-2471

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

Provider Enumeration Date	:	07/07/2005
Last Update Date	:	04/07/2016

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