Attleboro Ophthalmological Associates Inc
Organization Active NPI Ophthalmology Physician · Attleboro, MA
NPI 1083731442 · NPPES record last updated Jan 10, 2011
Key facts
- NPI
- 1083731442
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Ophthalmology Physician 207W00000X
- Legal business name
- ATTLEBORO OPHTHALMOLOGICAL ASSOCIATES INC
- Practice address
- 174 Pleasant St
Attleboro, MA 02703-2441 - Phone
- (508) 226-1809
- Fax
- (508) 226-4228
- NPI assigned
- Mar 23, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Peter Martin Fay, M.D.
- Title
- President
- Phone
- (508) 226-1809
Practitioners 3
-
Peter Martin Fay, MD
-
Abby Lynn Raposo, OD
-
Hendrik Krosschell III, O.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050606001066 | MA | Part B Supplier - Clinic/Group Practice | 6406899921 |
Receives reassigned benefits from 3 practitioners Practice locations: Attleboro, MA |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician |
207W00000X | Yes |
Addresses
Primary practice location
174 Pleasant St
Attleboro, MA 02703-2441
Mailing address
174 Pleasant St
Attleboro, MA 02703-2441
Phone (508) 226-1809
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9738932 | Medicaid | MA |
Other providers in Attleboro, MA
- Attleboro Dermatology, P.C.
- Attleboro Gastroenterology, PC
- Attleboro Internal Medicine, P.C.
- Attleboro Lodge, Inc
- Attleboro Medical Investors LP
- Attleboro Pediatric Dentistry PLLC
- Attleboro Public Schools
- Attleboro Radiology Partnership, LLC.
- Attleboro Surgical Associates, Inc
- Gina Auberjuste
All providers in Attleboro, MA · Ophthalmology Physician in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 10, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.