Provider Demographics
NPI:1467436410
Name:DOWD, CHRISTOPHER A (OD)
Entity Type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:A
Last Name:DOWD
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 LYONS ST
Mailing Address - Street 2:
Mailing Address - City:DEDHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02026-5599
Mailing Address - Country:US
Mailing Address - Phone:781-493-3685
Mailing Address - Fax:781-461-9325
Practice Address - Street 1:1 LYONS ST
Practice Address - Street 2:
Practice Address - City:DEDHAM
Practice Address - State:MA
Practice Address - Zip Code:02026-5599
Practice Address - Country:US
Practice Address - Phone:781-493-3685
Practice Address - Fax:781-461-9325
Is Sole Proprietor?:No
Enumeration Date:2005-12-02
Last Update Date:2021-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA3852152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
042472266OtherTRICARE CHAMPUS
410045645OtherRAILROAD MEDICARE
8201248OtherEVERCARE
042472266OtherHEALTHCARE VALUE MGMT
042472266OtherONE HEALTH PLAN
33125OtherFALLON COMMUNITY HEALTH
042472266OtherPRIVATE HEALTHCARE
042472266OtherTHREE RIVERS
5633464OtherAETNA US HEALTHCARE
W16026OtherBLUE SHIELD INDEMNITY
W16026OtherBLUE SHIELD HMO BLUE
787926OtherMVP HEALTH CARE
MA0369241Medicaid
2130123OtherHEALTHY START
2212966OtherFIRST HEALTH
W16026OtherBLUE CARE ELECT
9770000OtherCIGNA PAL ID
AA2357OtherHARVARD PILGRIM
MAW17003Medicare ID - Type Unspecified
MA0369241Medicaid