Provider Demographics
NPI:1447242672
Name:WILLINGER, RHONDA ZWERN (OD)
Entity Type:Individual
Prefix:DR
First Name:RHONDA
Middle Name:ZWERN
Last Name:WILLINGER
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:659 WORCESTER RD
Mailing Address - Street 2:
Mailing Address - City:FRAMINGHAM
Mailing Address - State:MA
Mailing Address - Zip Code:01701-5223
Mailing Address - Country:US
Mailing Address - Phone:508-872-2722
Mailing Address - Fax:508-872-7091
Practice Address - Street 1:659 WORCESTER RD
Practice Address - Street 2:
Practice Address - City:FRAMINGHAM
Practice Address - State:MA
Practice Address - Zip Code:01701-5223
Practice Address - Country:US
Practice Address - Phone:508-872-2722
Practice Address - Fax:508-872-7091
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-15
Last Update Date:2010-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA3381152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0354139Medicaid
MA427458Medicare ID - Type Unspecified