Provider Demographics
NPI:1730248261
Name:SEHGAL, ANUPAMA (OD)
Entity type:Individual
Prefix:DR
First Name:ANUPAMA
Middle Name:
Last Name:SEHGAL
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 RED GATE LN
Mailing Address - Street 2:
Mailing Address - City:SOUTHBOROUGH
Mailing Address - State:MA
Mailing Address - Zip Code:01772-1440
Mailing Address - Country:US
Mailing Address - Phone:508-485-3765
Mailing Address - Fax:
Practice Address - Street 1:1245 WORCESTER ST
Practice Address - Street 2:NATICK MALL LENSCRAFTERS SUITE 1024
Practice Address - City:NATICK
Practice Address - State:MA
Practice Address - Zip Code:01760-1515
Practice Address - Country:US
Practice Address - Phone:508-653-0919
Practice Address - Fax:508-653-0375
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-08
Last Update Date:2015-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA4157152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA2503532OtherAETNA
MAMA4157OtherEYEMED
MAAA9401OtherHARVARD PILGRIM
MAW16248OtherBLUE CROSS BLUE SHIELD
MAU81516Medicare UPIN
MAW16248OtherBLUE CROSS BLUE SHIELD