Provider Demographics
NPI:1063440881
Name:LEMOINE, JANET CLAIRE (OD)
Entity type:Individual
Prefix:DR
First Name:JANET
Middle Name:CLAIRE
Last Name:LEMOINE
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 1:117 STURBRIDGE WAY
Mailing Address - Street 2:
Mailing Address - City:BREWSTER
Mailing Address - State:MA
Mailing Address - Zip Code:02631-1632
Mailing Address - Country:US
Mailing Address - Phone:508-385-4534
Mailing Address - Fax:
Practice Address - Street 1:51 MAIN ST
Practice Address - Street 2:STE 4-5
Practice Address - City:HYANNIS
Practice Address - State:MA
Practice Address - Zip Code:02601
Practice Address - Country:US
Practice Address - Phone:508-771-6447
Practice Address - Fax:508-775-5104
Is Sole Proprietor?:No
Enumeration Date:2006-06-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2579152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0393762Medicaid
MA102714OtherCIGNA
MAW16202OtherBCBS
MA102714OtherCIGNA