NPIMap

Organization Active NPI

Fab Eye Care Center, PC

  • Optometrist
  • Phoenixville, PA
National Provider Identifier
1265042121
Registry record updated Aug 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
FAB EYE CARE CENTER, PC
Practice address
286 Griffen St
Phoenixville, PA 19460-4448
Phone
(610) 933-1144
Fax
(610) 933-7067
NPI assigned
Aug 5, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2020

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

Authorized official

Name
Barry Fabriziani, ODNPI 1700840782
Title
Owner / Authorized Official
Phone
(610) 933-1144

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

286 Griffen St
Phoenixville, PA 19460-4448

Mailing address

286 Griffen St
Phoenixville, PA 19460-4448
Phone (610) 933-1144

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201117001649 PA Part B Supplier - Clinic/Group Practice 3971914268 Receives reassigned benefits from 5 practitioners
Practice locations: Malvern, PA; Phoenixville, PA

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1596585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596585600000",
    "number": "1265042121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "286 GRIFFEN ST",
            "city": "PHOENIXVILLE",
            "state": "PA",
            "postal_code": "194604448",
            "telephone_number": "610-933-1144",
            "fax_number": "610-933-7067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "286 GRIFFEN ST",
            "city": "PHOENIXVILLE",
            "state": "PA",
            "postal_code": "194604448",
            "telephone_number": "610-933-1144",
            "fax_number": "610-933-7067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAB EYE CARE CENTER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-05",
        "last_updated": "2020-08-05",
        "certification_date": "2020-08-05",
        "status": "A",
        "authorized_official_last_name": "FABRIZIANI",
        "authorized_official_first_name": "BARRY",
        "authorized_official_title_or_position": "OWNER / AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "610-933-1144",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenixville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.