Organization Active NPI

Advanced Eye Surgery Center

  • Ambulatory Surgical Clinic/Center
  • N Dartmouth, MA
National Provider Identifier
1053360107
Registry record updated Jul 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
ADVANCED EYE SURGERY CENTER
Practice address
500 Faunce Corner Rd
Suite 180
N Dartmouth, MA 02747-1278
Phone
(508) 717-0270
Fax
(508) 995-3060
NPI assigned
May 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Paul C Abrantes
Title
Administrator
Phone
(508) 717-0266

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

500 Faunce Corner Rd
Suite 180
N Dartmouth, MA 02747-1278

Mailing address

500 Faunce Corner Rd
Suite 180
North Dartmouth, MA 02747-1278
Phone (508) 717-0270

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070115000152 MA Part B Supplier - Ambulatory Surgical Center 7810997988 Practice locations: N Dartmouth, MA

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Advanced Eye Surgery CenterCCN 22C0001057
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
22D1057391Advanced Eye Surgery Center LLC500 Faunce Corner Road Suite 180, North Dartmouth, MA 02747Certificate of waiverAug 9, 2026

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689206400000",
    "number": "1053360107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 FAUNCE CORNER RD",
            "address_2": "SUITE 180",
            "city": "NORTH DARTMOUTH",
            "state": "MA",
            "postal_code": "027471278",
            "telephone_number": "508-717-0270",
            "fax_number": "508-995-3060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 FAUNCE CORNER RD",
            "address_2": "SUITE 180",
            "city": "N DARTMOUTH",
            "state": "MA",
            "postal_code": "027471278",
            "telephone_number": "508-717-0270",
            "fax_number": "508-995-3060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED EYE SURGERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-08",
        "last_updated": "2023-07-13",
        "certification_date": "2023-07-13",
        "status": "A",
        "authorized_official_last_name": "ABRANTES",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "508-717-0266",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in N Dartmouth, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.