Provider Demographics
NPI:1598762122
Name:VALENTINI, DONNA M (OD)
Entity Type:Individual
Prefix:
First Name:DONNA
Middle Name:M
Last Name:VALENTINI
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:980 WASHINGTON ST
Mailing Address - Street 2:SUITE 120
Mailing Address - City:DEDHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02026-6731
Mailing Address - Country:US
Mailing Address - Phone:781-251-2222
Mailing Address - Fax:781-234-0279
Practice Address - Street 1:980 WASHINGTON ST
Practice Address - Street 2:SUITE 120
Practice Address - City:DEDHAM
Practice Address - State:MA
Practice Address - Zip Code:02026-6731
Practice Address - Country:US
Practice Address - Phone:781-251-2222
Practice Address - Fax:781-234-0279
Is Sole Proprietor?:No
Enumeration Date:2005-06-28
Last Update Date:2011-11-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA3550152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
355887OtherMASS HEALTH (DIV OF MED S
410870OtherTUFTS BENEFIT ADMINSTRATO
410044164OtherRAILROAD MEDICARE
410870OtherTUFTS TOTAL HEALTH PLAN
152373OtherFIRST SENIORITY
152373OtherHARVARD PILGRIM PPO
27736OtherCHILDREN'S MEDICAL SECURI
6640684OtherHEALTHSOURCE MA
W15779OtherBS-BLUE CARE ELECT
0014555OtherNEIGHBORHOOD HEALTH PLAN
410870OtherTUFTS SECURE HORIZONS
W15779OtherHMO BLUE/BLUE CHOICE
152373OtherHARVARD/PILGRIM
6640684OtherCIGNA HEALTH CARE
152373OtherHARVARD PILGRIM POS
410870OtherTUFTS COMMONWEALTH PPO
9863OtherDAVIS VISION (UNICARE)
410870OtherTUFTS
152373OtherHARVARD/PILGRIM
410044164OtherRAILROAD MEDICARE
U03000Medicare UPIN