Dr. Dana Agnes, O.D.
Optometrist in Waltham, MA. Individual provider (NPI-1).
NPI number1235124389
StatusActive
Last updated in NPPESDec 31, 2018
Details
- NPI
- 1235124389
- Entity type
- Individual (NPI-1)
- Name
- Dr. Dana Agnes
- Credential
- O.D.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 14, 2005
- Last updated
- Dec 31, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | 5275 | MA | Yes |
| 152W00000X | Optometrist | 1821 | NC |
Practice location
52 2nd Ave Ste 2500Waltham, MA 02451-1252
Phone 781-487-2200 · Fax 781-487-5717
Mailing address
3 Sunday Woods RdWeston, MA 02493-1249
Phone 781-907-7723
Other practice locations
1960 Randolph Rd
Charlotte, NC 28207-1102
Charlotte, NC 28207-1102
Phone 704-716-2020 · Fax 704-714-5343
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