Active NPIIndividual provider

Dr. Jennifer Grace, OD

Optometrist in Duxbury, Massachusetts

NPI Number1154873008
Practice location
45 Depot St Unit 45C, Duxbury, MA 02332-4431
Fax
339-217-2986
Last updated
July 22, 2022

Jennifer Grace is an Optometrist based in Duxbury, MA. Jennifer Grace practices in Duxbury, MA and has the professional credentials of OD. The NPI Number for Jennifer Grace is 1154873008 and holds a License No. 5192 (MA). The current practice location address for Jennifer Grace is 45 Depot St Unit 45C, Duxbury, MA 02332-4431 and can be reached out via phone at 339-217-2985 and via fax at 339-217-2986.

Provider Profile Details

NPI Number
1154873008
Provider Name
Jennifer Grace
Credential
OD
Provider Entity Type
Individual
Gender
Female
Address
45 Depot St Unit 45C, Duxbury, MA 02332-4431
Phone Number
339-217-2985
Fax Number
339-217-2986
Primary Taxonomy
Optometrist · 152W00000X
Sole Proprietor
No
Other Names
Jennifer Pham, OD (Former Name)
Provider Enumeration Date
October 26, 2016
Last Update Date
July 22, 2022
Certification Date
July 22, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
45 Depot St Unit 45C
Duxbury, MA 02332-4431
Zip
02332-4431
Phone Number
339-217-2985
Fax Number
339-217-2986
Duxbury, MA 02332Get directions →

Provider Business Mailing Address Details

Address
45 Depot St Unit 45C
Duxbury, MA 02332-4431
City
Duxbury
State
MA
Zip
02332-4431
Phone Number
339-217-2985
Fax Number
339-217-2986

License Information

License Number
5192
License State
MA
Taxonomy
Optometrist · 152W00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Jennifer Grace, OD?

The NPI number of Dr. Jennifer Grace, OD is 1154873008. It was assigned on October 26, 2016 and is currently active in the NPPES registry.

What is the specialty of Dr. Jennifer Grace, OD?

Dr. Jennifer Grace, OD is registered under the primary taxonomy Optometrist (code 152W00000X), licensed in MA under license number 5192.

Where does Dr. Jennifer Grace, OD practice?

The practice location is 45 Depot St Unit 45C, Duxbury, MA 02332-4431. The office can be reached at 339-217-2985 (phone) or 339-217-2986 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1154873008 directly on the NPPES registry website.

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