Atlantic Family Eye Care Inc
Organization Active NPI Optometrist · Woonsocket, RI
NPI 1184769010 · NPPES record last updated Jun 24, 2022
Key facts
- NPI
- 1184769010
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- Legal business name
- ATLANTIC FAMILY EYE CARE INC
- Practice address
- 2345 Mendon Rd
Woonsocket, RI 02895-6164 - Phone
- (401) 765-5430
- Fax
- (401) 765-8175
- NPI assigned
- Feb 20, 2007
- Organization subpart
- No
Authorized official
- Name
- Mr. Emily Burgess
- Title
- Office Manager
- Phone
- (401) 765-5430
Practitioners 5
-
April Lynn Brown, OD
-
Holly Jane Dwan, OD
-
Anna Spitserev, O.D.
Laboratory certificates & supplier records
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Atlantic Famiy Eye Care |
Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses|Prosthetic Lenses: Prosthetics Cataract Lenses | Accepts assignment |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in RI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100510000339 | RI | Part B Supplier - Clinic/Group Practice | 9335277540 |
Receives reassigned benefits from 5 practitioners Practice locations: Warwick, RI; Woonsocket, RI |
| O20100930079230 | RI | DME Supplier - Physician - Optometrist | 9335277540 | Practice locations: Woonsocket, RI |
National Provider Directory
Locations
1153 Warwick Ave
Warwick, RI 02888
Phone (401) 732-2020
2345 Mendon Rd
Woonsocket, RI 02895
Phone (401) 250-0123
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | Yes |
Addresses
Primary practice location
2345 Mendon Rd
Woonsocket, RI 02895-6164
Mailing address
2345 Mendon Rd
Woonsocket, RI 02895-6164
Phone (401) 765-5430
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2680 | Other | RI | NEIGHBORHOOD HEALTH |
| AF34660 | Medicaid | RI |
Other providers in Woonsocket, RI
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- Olphabine Athouriste
- Marilyn L Auernheimer
- Sarah Elizabeth Aurelio
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- Elizabeth R Axelsen
All providers in Woonsocket, RI · Optometrist in Rhode Island
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 24, 2022. 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.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.