Provider Demographics
NPI:1205834496
Name:DARROW, JUDITH R (OD)
Entity Type:Individual
Prefix:DR
First Name:JUDITH
Middle Name:R
Last Name:DARROW
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:4199 WASHINGTON ST UNIT 2
Mailing Address - Street 2:
Mailing Address - City:ROSLINDALE
Mailing Address - State:MA
Mailing Address - Zip Code:02131-1733
Mailing Address - Country:US
Mailing Address - Phone:617-323-7300
Mailing Address - Fax:781-234-0279
Practice Address - Street 1:4199 WASHINGTON ST UNIT 2
Practice Address - Street 2:
Practice Address - City:ROSLINDALE
Practice Address - State:MA
Practice Address - Zip Code:02131-1733
Practice Address - Country:US
Practice Address - Phone:617-323-7300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-07-12
Last Update Date:2021-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA3566152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
9894OtherUNICARE
759149OtherTUFTS
MA8869163OtherHEALTHSOURCE
W15935OtherBS-BLUE CARE ELECT
0356158OtherMASS HEALTH
150564OtherHARVARD PILGRIM
27366OtherCHILDRENS MEDICAL SECURIT
759149OtherTUFTS BENEFITS ADMIN
759149OtherTUFTS SECURE HORIZONS
8669163OtherCIGNA HEALTH CARE
U12537OtherFIRST SENIORITY
W15935OtherHMO BLUE/BLUE CHOICE
0003271OtherNEIGHBORHOOD HEALTH PLAN
150564OtherHARVARD PILGRIM POS
150564OtherHARVARD PILGRIM PPO
759149OtherTUFTS COMMONWEALTH PPO
W15935OtherBS INDEMNITY
27366OtherCHILDRENS MEDICAL SECURIT
444458Medicare ID - Type Unspecified
759149OtherTUFTS COMMONWEALTH PPO