Provider Demographics
NPI:1841390937
Name:WADMAN, BRIAN WINFIELD (OD)
Entity Type:Individual
Prefix:DR
First Name:BRIAN
Middle Name:WINFIELD
Last Name:WADMAN
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:489 BERNARDSTON RD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:GREENFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01301-1238
Mailing Address - Country:US
Mailing Address - Phone:413-772-2571
Mailing Address - Fax:413-772-2266
Practice Address - Street 1:489 BERNARDSTON RD
Practice Address - Street 2:SUITE 101
Practice Address - City:GREENFIELD
Practice Address - State:MA
Practice Address - Zip Code:01301-1238
Practice Address - Country:US
Practice Address - Phone:413-772-2571
Practice Address - Fax:413-772-2266
Is Sole Proprietor?:No
Enumeration Date:2006-09-25
Last Update Date:2012-01-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA3259152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0353787Medicaid
MA453866398OtherCOMMONWEALTH INDEMNITY PLAN
MA453866398OtherAARP
MAY70858OtherBCBS OF MA
MA453866398OtherHEALTHNET BOSTON MEDICAL
MA453866398OtherUNICARE
MA453866398OtherAETNA-ALL
MA453866398OtherUNITED HEALTH CARE
MA453866398OtherCIGNA ALL
MA453866398OtherHARVARD PILGRIM
MA17524OtherHEALTH NEW ENGLAND
MA731386OtherTUFTS
MAY70858OtherBCBS OF MA
MA17524OtherHEALTH NEW ENGLAND
MA453866398OtherAETNA-ALL