JENNA MICHELLE WILLARD (NPI# 1558744409) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558744409 |
| Entity Type | Individual |
| Full Name | JENNA MICHELLE WILLARD |
| Credential | O.D. |
| Practice Address |
19 Village Sq Chelmsford MA 01824-2712 |
| Practice Telephone | 9782565600 |
| Practice Fax Number | 9787030250 |
| Mailing Telephone | 9782565600 |
| Mailing Fax Number | 9787030250 |
| Enumeration Date | 2015-07-09 |
| Last Update Date | 2016-12-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 5166 | MA | Eye and Vision Services Providers |
| N | 152W00000X | Optometrist | OEG003049 | PA | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 110116574A | 05 |
| Street Address |
19 VILLAGE SQ |
| City | CHELMSFORD |
| State | MA |
| Zip Code | 01824-2712 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750386835 | Bruce William Bunker | Optometrist | 19 Village Sq, Chelmsford, MA 01824-2712 | 2005-06-16 |
| 1780098640 | Lgh-pho Dba Massachusetts Eye Associates, PC | Ophthalmology | 19 Village Sq, Chelmsford, MA 01824-2712 | 2014-06-18 |
| 1750674958 | Melissa C Donald | Optometrist | 19 Village Sq, Chelmsford, MA 01824-2712 | 2011-05-20 |
| 1265676928 | Cecily Elaine Hamill | Ophthalmology | 19 Village Sq, Chelmsford, MA 01824 | 2009-04-25 |
| 1679751358 | Brent Ronald Mittelstaedt | Ophthalmology | 19 Village Sq, Chelmsford, MA 01824 | 2008-02-05 |
| 1922284793 | Massachusetts Eye Associates, P.C. | Optometrist | 19 Village Sq, Chelmsford, MA 01824-2712 | 2008-01-11 |
| 1508076027 | Jennifer Hartzell Calnan | Optometrist | 19 Village Sq, Chelmsford, MA 01824-2712 | 2007-05-23 |
| 1568455897 | Glen Alan Bolliger | Ophthalmology | 19 Village Sq, Chelmsford, MA 01824-2712 | 2005-08-23 |
| 1225020316 | David Mears Tracy | Ophthalmology | 19 Village Sq, Chelmsford, MA 01824-2712 | 2005-08-16 |
| 1003808197 | David Hyungjun Yi | Ophthalmology | 19 Village Sq, Chelmsford, MA 01824-2712 | 2005-08-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538701776 | Nepsc-lowell LLC | Surgery | 33 Village Square, Chelmsford, MA 01824 | 2019-10-09 |
| 1447805015 | Owl Pediatric Therapy LLC | Speech-Language Pathologist | 360 Littleton Road, #g6, Chelmsford, MA 01824 | 2019-08-09 |
| 1083277420 | Praisey Joseph | Nurse Practitioner | Massachusetts Ent Associates, Inc, 3 Meeting House Rd Suite 24, Chelmsford, MA 01824 | 2019-04-22 |
| 1013434513 | Sherry Ranjbar | Counselor | 13 Horseshoe Rd, Chelmsford, MA 01824 | 2017-08-24 |
| 1942666250 | Alyssa Paton | Nurse Practitioner | 4 Meeting House Rd Ste 1, Chelmsford, MA 01824 | 2016-01-04 |
| 1144696675 | Serene Williams-kasili | Nurse Practitioner | 35 Village Square, Chelmsford, MA 01824 | 2015-08-19 |
| 1437536901 | Chelmsford Family Dentists PC | Dentist | 18 Boston Road, Suite 400, Chelmford, MA 01824 | 2015-05-04 |
| 1508284084 | Caitlin Polistena | Surgery | 21 Village Sqaure, Chelmsford, MA 01824 | 2014-04-02 |
| 1932442662 | Scott Finlay | Otolaryngology | 3 Meeting House Rd Ste 23and24, Chelmsford, MA 01824 | 2013-04-01 |
| 1700127925 | Safetynet Community Dental Health Center | Clinic/Center | 3 Courhouse Lane, Chelmsford, MA 01824 | 2013-03-13 |
| Find all providers in zip 01824 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992726251 | Heidi Louise Frank | Optometrist | 60 Chelmsford St., Chelmsford, MA 01824-3099 | 2006-07-22 |
| 1396725941 | John Hartford Mackenzie | Optometrist | 3 Courthouse Ln, Suite 1 A, Chelmsford, MA 01824-1722 | 2006-01-19 |
| 1790770980 | Stephen B Adelstein | Optometrist | 11 Summer St, Unit 1, Chelmsford, MA 01824-3064 | 2005-09-14 |
| 1750386835 | Bruce William Bunker | Optometrist | 19 Village Sq, Chelmsford, MA 01824-2712 | 2005-06-16 |
| 1619427705 | Village Eye Associates,llc | Optometrist | 17 Village Sq, Chelmsford, MA 01824-2712 | 2016-10-12 |
| 1053783845 | Dr. Heidi Louise Frank, O.d. | Optometrist | 60 Chelmsford St, Chelmsford, MA 01824-3099 | 2015-10-20 |
| 1609245356 | Rsa Optical LLC | Optometrist | 11 Summer St, Chelmsford, MA 01824-3064 | 2015-09-23 |
| 1750674958 | Melissa C Donald | Optometrist | 19 Village Sq, Chelmsford, MA 01824-2712 | 2011-05-20 |
| 1679893093 | Village Eye Associates,llc | Optometrist | 17 Village Sq, Chelmsford, MA 01824-2712 | 2010-06-08 |
| 1144453903 | Andrea Dawn Vosbikian | Optometrist | 9 Acton Rd, Chelmsford, MA 01824-3498 | 2009-08-27 |
| Find all providers in CHELMSFORD | ||||
| City | CHELMSFORD |
| Zip Code | 01824 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.