NPIMap

Organization Active NPI

Prattville Eye Associates, LLC

  • Optometrist
  • Saugus, MA
National Provider Identifier
1386854776
Registry record updated Sep 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2889 Issued in MA
Legal business name
PRATTVILLE EYE ASSOCIATES, LLC
Practice address
200 Walnut St
Saugus, MA 01906-1158
Phone
(781) 231-1100
Fax
(781) 231-9634
NPI assigned
May 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2008

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

Authorized official

Name
Dr. Robert Arnold Buonfiglio, O.D.
Title
Optometrist
Phone
(781) 231-1100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 2889 MA Primary

Addresses

Primary practice location

200 Walnut St
Saugus, MA 01906-1158

Mailing address

200 Walnut St
Saugus, MA 01906-1158
Phone (781) 231-1100

Other identifiers 1

IdentifierTypeStateIssuer
0005905OtherMAMEDICARE PTAN

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222128000000",
    "number": "1386854776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 WALNUT ST",
            "city": "SAUGUS",
            "state": "MA",
            "postal_code": "019061158",
            "telephone_number": "781-231-1100",
            "fax_number": "781-231-9634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 WALNUT ST",
            "city": "SAUGUS",
            "state": "MA",
            "postal_code": "019061158",
            "telephone_number": "781-231-1100",
            "fax_number": "781-231-9634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRATTVILLE EYE ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2008-09-23",
        "status": "A",
        "authorized_official_last_name": "BUONFIGLIO",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "ARNOLD",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "781-231-1100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MA",
            "license": "2889",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "0005905",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saugus, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2008; 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.