Active NPIIndividual provider

Jenna M Willard, OD

Optometrist in Chelmsford, Massachusetts

NPI Number1558744409
Practice location
19 Village Sq, Chelmsford, MA 01824-2712
Fax
978-703-0250
Last updated
December 15, 2016

Jenna Michelle Willard is an Optometrist based in Chelmsford, MA. Jenna Michelle Willard practices in Chelmsford, MA and has the professional credentials of OD. The NPI Number for Jenna Michelle Willard is 1558744409 and holds a License No. 5166 (MA). The current practice location address for Jenna Michelle Willard is 19 Village Sq, Chelmsford, MA 01824-2712 and can be reached out via phone at 978-256-5600 and via fax at 978-703-0250.

Provider Profile Details

NPI Number
1558744409
Provider Name
Jenna Michelle Willard
Credential
OD
Provider Entity Type
Individual
Gender
Female
Address
19 Village Sq, Chelmsford, MA 01824-2712
Phone Number
978-256-5600
Fax Number
978-703-0250
Primary Taxonomy
Optometrist · 152W00000X
Sole Proprietor
No
Provider Enumeration Date
July 9, 2015
Last Update Date
December 15, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
19 Village Sq
Chelmsford, MA 01824-2712
Zip
01824-2712
Phone Number
978-256-5600
Fax Number
978-703-0250
Chelmsford, MA 01824Get directions →

Provider Business Mailing Address Details

Address
19 Village Sq
Chelmsford, MA 01824-2712
City
Chelmsford
State
MA
Zip
01824-2712
Phone Number
978-256-5600
Fax Number
978-703-0250

License Information

License Number (1)
5166
License State (1)
MA
Taxonomy (1)
Optometrist · 152W00000X · Primary
License Number (2)
OEG003049
License State (2)
PA
Taxonomy (2)
Optometrist · 152W00000X

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 Jenna M Willard, OD?

The NPI number of Jenna M Willard, OD is 1558744409. It was assigned on July 9, 2015 and is currently active in the NPPES registry.

What is the specialty of Jenna M Willard, OD?

Jenna M Willard, OD is registered under the primary taxonomy Optometrist (code 152W00000X), licensed in MA under license number 5166.

Where does Jenna M Willard, OD practice?

The practice location is 19 Village Sq, Chelmsford, MA 01824-2712. The office can be reached at 978-256-5600 (phone) or 978-703-0250 (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 1558744409 directly on the NPPES registry website.

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