Individual provider Active NPI

Eudoxia E Tsongalis-Arruda, OD

  • Optometrist
  • Fall River, MA
National Provider Identifier
1194804922
Registry record updated Nov 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4072 Issued in MA
Practice address
920 Plymouth Ave
Fall River, MA 02721-1944
Phone
(508) 673-5831
Fax
(508) 676-2128
NPI assigned
Nov 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4072 MA Primary

Addresses

Primary practice location

920 Plymouth Ave
Fall River, MA 02721-1944

Mailing address

920 Plymouth Ave
Fall River, MA 02721-1944
Phone (508) 673-5831

Other identifiers 11

IdentifierTypeStateIssuer
2200794OtherMAUNITED HEALTHCARE OF NE
5416140OtherMACIGNA
23836-2OtherRIBLUE CROS BLUE SHIELD
0313831OtherMAMASSHEALTH
38666OtherMACHILDREN'S MEDICAL
28599OtherMABMC HEALTHNET
0028632OtherRINEIGHBORHOOD HEALTH PLAN
004072OtherMATUFTS HEALTH PLAN
153227OtherMAHARVARD PILGRIM HEALTH
408873OtherRIBLUE CHIP OF RI
W16296OtherMABLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120322000519 MA Practitioner - Optometry 7618137076 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

920 Plymouth Ave
Fall River, MA 02721-1944
Phone (508) 673-5831

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Family Vision, PC Optometrist CurrentSince Oct 2, 1999 Accepting new patients

Locations

920 Plymouth Ave
Fall River, MA 02721
Phone (508) 672-6471

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322524800000",
    "number": "1194804922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 PLYMOUTH AVE",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027211944",
            "telephone_number": "508-673-5831",
            "fax_number": "508-676-2128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 PLYMOUTH AVE",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027211944",
            "telephone_number": "508-673-5831",
            "fax_number": "508-676-2128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TSONGALIS-ARRUDA",
        "first_name": "EUDOXIA",
        "middle_name": "E",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-03",
        "last_updated": "2011-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "4072",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE OF NE",
            "identifier": "2200794",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "5416140",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROS BLUE SHIELD",
            "identifier": "23836-2",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASSHEALTH",
            "identifier": "0313831",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHILDREN'S MEDICAL",
            "identifier": "38666",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BMC HEALTHNET",
            "identifier": "28599",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEIGHBORHOOD HEALTH PLAN",
            "identifier": "0028632",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN",
            "identifier": "004072",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM HEALTH",
            "identifier": "153227",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHIP OF RI",
            "identifier": "408873",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "W16296",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fall River, MA

Sources for this page

Verify at the official NPI Registry.