JEFFREY SHWOM


Address: 40 Holland Street, 1st Floor, Somerville, MA 02144
Phone: 6176296378

JEFFREY SHWOM (NPI# 1841769460) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1841769460
Entity Type Individual
Full Name JEFFREY SHWOM
Practice Address 40 Holland Street, 1st Floor
Somerville
MA 02144
Practice Telephone 6176296378
Practice Fax Number 6176296214
Enumeration Date 2018-11-14
Last Update Date 2018-11-14
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 156FX1800X Technician/Technologist
Specialization: Optician
6453 MA Eye and Vision Services Providers

Office Location

Street Address 40 HOLLAND STREET, 1ST FLOOR
City SOMERVILLE
State MA
Zip Code 02144

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Taxonomy Information

Taxonomy Code 156FX1800X
Grouping Eye and Vision Services Providers
Classification Technician/Technologist
Specialization Optician

Taxonomy Definition

Definition to come...

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1326547050 Rowden Opticians of Somerville LLC Technician/Technologist 82 W Main St, Somerville, NJ 08876-2216 2018-02-08
1982041711 Ronald Romanelli Technician/Technologist 40 Holland St, Somerville, MA 02144-2705 2013-06-03
1669650487 Cambridge Health Alliance Eye Center Technician/Technologist 65 Beacon St, Somerville, MA 02143-4324 2008-02-04
1548470552 Amo, Inc. Technician/Technologist 22 Mcgrath Hwy, Somerville, MA 02143-4508 2007-05-22
1376762633 John R Inslee Technician/Technologist 40 Holland St, Somerville, MA 02144-2705 2007-04-25

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City SOMERVILLE
Zip Code 02144

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Dataset Information

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.

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