Organization Active NPI

Advanced Eye Centers FR LLC

  • Ophthalmology Physician
  • Fall River, MA
National Provider Identifier
1114291994
Registry record updated Jul 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
ADVANCED EYE CENTERS FR LLC
Practice address
1741 President Ave
Fall River, MA 02720-7113
Phone
(508) 674-2020
Fax
(508) 536-4766
NPI assigned
Feb 27, 2012
Last updated
Jul 22, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2014

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

Authorized official

Name
Paul C Abrantes
Title
Administrator
Phone
(508) 717-0270

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

1741 President Ave
Fall River, MA 02720-7113

Mailing address

500 Faunce Corner Rd
Suite 110
N Dartmouth, MA 02747-1278
Phone (508) 717-0270

Other identifiers 1

IdentifierTypeStateIssuer
9717480MedicaidMA

National Provider Directory

National Provider Directory

Locations

854 Purchase St
New Bedford, MA 02740
Phone (508) 717-0477

1 Washington St
Ste 400
Taunton, MA 02780
Phone (508) 824-1259

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1330300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405987200000",
    "number": "1114291994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 FAUNCE CORNER RD",
            "address_2": "SUITE 110",
            "city": "N 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": "1741 PRESIDENT AVE",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027207113",
            "telephone_number": "508-674-2020",
            "fax_number": "508-536-4766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED EYE CENTERS FR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-27",
        "last_updated": "2014-07-22",
        "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": "508-717-0270"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9717480",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fall River, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.