Jacquelyn Brooke Stevens, M.D.

Ophthalmology Physician · Malden, MA

Individual Active NPI

NPI number 1275664658

Practice location

452 Pleasant St
Office of Michael S. Wiedman, M.D.
Malden, MA 02148
Phone
(781) 322-3224

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NPI record

NPI
1275664658
Entity type
Individual (Type 1)
Enumeration date
March 8, 2007
Last updated
August 25, 2021
Certified
August 25, 2021
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Ophthalmology Physician Primary 207W00000X 158811 MA
Internal Medicine Physician 207R00000X 158811 MA

Mailing address

109 Trapelo Rd
Lincoln, MA 01773-2811
Phone
(781) 322-3224

About Dr. Stevens

Jacquelyn Brooke Stevens, M.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Ophthalmology Physician (code 207W00000X). The practice location is 452 Pleasant St, Office of Michael S. Wiedman, M.D., Malden, MA 02148. The NPI number 1275664658 was assigned on March 8, 2007 and the record was last updated on August 25, 2021.

Dr. Stevens lists 2 licenses in the registry: #158811 (MA) for Ophthalmology Physician; #158811 (MA) for Internal Medicine Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jacquelyn Brooke Stevens, M.D.?

The NPI number is 1275664658.

What is the phone number of Dr. Stevens?

The phone number listed for the practice location is (781) 322-3224.

Where is Dr. Stevens located?

452 Pleasant St, Office of Michael S. Wiedman, M.D., Malden, MA 02148.

What is the taxonomy code for Dr. Stevens?

The primary taxonomy code is 207W00000X – Ophthalmology Physician; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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