Provider Demographics
NPI:1851388292
Name:MEGA, JOSEPH VINCENT JR (OD)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:VINCENT
Last Name:MEGA
Suffix:JR
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:500 E WASHINGTON ST
Mailing Address - Street 2:SUITE 12
Mailing Address - City:NORTH ATTLEBORO
Mailing Address - State:MA
Mailing Address - Zip Code:02760-6301
Mailing Address - Country:US
Mailing Address - Phone:508-695-4200
Mailing Address - Fax:508-695-4200
Practice Address - Street 1:500 E WASHINGTON ST
Practice Address - Street 2:SUITE 12
Practice Address - City:NORTH ATTLEBORO
Practice Address - State:MA
Practice Address - Zip Code:02760-6301
Practice Address - Country:US
Practice Address - Phone:508-695-4200
Practice Address - Fax:508-695-4200
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-30
Last Update Date:2018-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIODTA00459152W00000X
MA3874152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA2200539OtherUNITED HEALTHCARE
RI7009179Medicaid
MAW16199OtherBLUE CROSS BLUE SHIELD MA
MA152254OtherHARVARD PILGRIM
RI21190-9OtherBLUE CROSS BLUE SHIELD RI
MA003874OtherTUFTS HEALTH PLAN
RI7009179Medicaid
MA2200539OtherUNITED HEALTHCARE
RI21190-9OtherBLUE CROSS BLUE SHIELD RI