DR. SANTIAGO JULIO VILLAZON JR. (NPI# 1750484861) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750484861 |
| Entity Type | Individual |
| Full Name | DR. SANTIAGO JULIO VILLAZON JR. |
| Credential | M.D. |
| Practice Address |
400 5th Ave Ste 510 Waltham MA 02451-8706 |
| Practice Telephone | 3392223545 |
| Practice Fax Number | 7812072585 |
| Mailing Telephone | 3392223545 |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2012-06-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207W00000X | Ophthalmology | 041378 | CT | Allopathic & Osteopathic Physicians |
| N | 207W00000X | Ophthalmology | MD10994 | RI | Allopathic & Osteopathic Physicians |
| Y | 207W00000X | Ophthalmology | 150884 | MA | Allopathic & Osteopathic Physicians |
| Street Address |
400 5TH AVE STE 510 |
| City | WALTHAM |
| State | MA |
| Zip Code | 02451-8706 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538719190 | Haeun Yang | Behavior Technician | 303 Wyman Street Suite 354, 344, 345, Waltham, MA 02451 | 2019-09-16 |
| 1982252599 | Sinclair Fashaw-braxton | Behavior Technician | 303 Wyman Street, Suite 354, 344, 345, Waltham, MA 02451 | 2019-08-27 |
| 1245715879 | Annie F Friedman | Social Worker | Extended Stay America, 32 4the Avenue, Waltham, MA 02451 | 2018-09-28 |
| 1760964118 | Elizabeth Boardman Harris | Social Worker | 60 Hickory Drive 4th Floor, Waltham, MA 02451 | 2018-09-02 |
| 1760960959 | Patriot Urgent Care Professionals, PC | General Practice | 1030 Main Street, Unit 2, Waltham, MA 02451 | 2018-07-31 |
| 1962998013 | Leighann Teresa Healy | Behavior Technician | 303 Wyman Suite 300, Waltham, MA 02451 | 2018-07-02 |
| 1194234492 | Bruna Rossi Hoffman | Dentist | 12 Grant Place, Apt 1, Waltham, MA 02451 | 2017-09-29 |
| 1265959159 | Matthew C Page-shelton | Counselor | 2208 Stearns Hill Road, Waltham, MA 02451 | 2017-08-23 |
| 1306380837 | Sherri Lynn Duquette | Behavior Technician | 1430 Main Street, Waltham, MA 02451 | 2016-12-19 |
| 1649628728 | Keren Matveev | Family Medicine | 75 Third Avenue, First Floor, Waltham, MA 02451 | 2016-05-30 |
| Find all providers in zip 02451 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306450903 | Barsam Vision Care LLC | Ophthalmology | 135 Beaver St Ste 309, Waltham, MA 02452-8412 | 2020-09-02 |
| 1346894896 | Nsea Macipa LLC | Ophthalmology | 135 Beaver Street Ste 309, Waltham, MA 02452 | 2019-08-01 |
| 1265813992 | Nandini Venkateswaran | Ophthalmology | 1601 Trapelo Rd Ste 184, Waltham, MA 02451-7356 | 2015-06-18 |
| 1992061303 | Karen Small | Ophthalmology | 1440 Main St Ste 201, Waltham, MA 02451-1640 | 2012-04-10 |
| 1417996224 | Richard L Beckman | Ophthalmology | 411 Waverley Oaks Rd, Suite 229, Waltham, MA 02452-8448 | 2006-06-06 |
| 1285617530 | Charles Stephen Foster | Ophthalmology | 1440 Main Street, Suite 201, Waltham, MA 02451 | 2005-11-21 |
| 1538150487 | Eric L Putnoi | Ophthalmology | 20 Hope Avenue, Suite 212, Waltham, MA 02453 | 2005-10-31 |
| 1942292560 | Jonathan H Talamo | Ophthalmology | 1601 Trapelo Rd, Suite 184, Waltham, MA 02451-7333 | 2005-08-19 |
| 1285241174 | Barsam Highhealth LLC | Ophthalmology | 135 Beaver St Ste 309, Waltham, MA 02452-8412 | 2020-09-25 |
| 1811503683 | Cambridge Ophthalmics Inc | Ophthalmology | 135 Beaver St Ste 309, Waltham, MA 02452-8412 | 2020-09-17 |
| Find all providers in WALTHAM | ||||
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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.