NPIMap

Organization Active NPI

D'Ambrosio Eye Care, Inc.

  • Ophthalmology Physician
  • Worcester, MA
National Provider Identifier
1467968149
Registry record updated Dec 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
D'AMBROSIO EYE CARE, INC.
Practice address
255 Park Ave Ste 606
Worcester, MA 01609-1930
Phone
(508) 753-1032
Fax
(508) 755-5705
NPI assigned
Dec 18, 2017
Last updated
Dec 18, 2017By the provider in NPPES
Organization subpart
Yes
Parent organization
D'AMBROSIO EYE CARE, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 18, 2017

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

Authorized official

Name
Dr. Francis A D'Ambrosio Jr., MDNPI 1497789754
Title
Owner / Medical Director
Phone
(978) 537-3900

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
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

255 Park Ave Ste 606
Worcester, MA 01609-1930

Mailing address

255 Park Ave Ste 606
Worcester, MA 01609-1930
Phone (508) 753-1032

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040514000021 MA Part B Supplier - Clinic/Group Practice 5597755314 Receives reassigned benefits from 13 practitioners
5 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Acton, MA; Athol, MA; Gardner, MA; Lancaster, MA; Worcester, MA

Other NPIs on the same Medicare enrollment 5

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Dambrosio Eye Care Inc3 organizations share this tax ID, including this one
Part of
Dambrosio Eye Care Inc

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 25

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.

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1513555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513555200000",
    "number": "1467968149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 PARK AVE STE 606",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016091930",
            "telephone_number": "508-753-1032",
            "fax_number": "508-755-5705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 PARK AVE STE 606",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016091930",
            "telephone_number": "508-753-1032",
            "fax_number": "508-755-5705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "D'AMBROSIO EYE CARE, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "D'AMBROSIO EYE CARE, INC.",
        "enumeration_date": "2017-12-18",
        "last_updated": "2017-12-18",
        "status": "A",
        "authorized_official_last_name": "D'AMBROSIO",
        "authorized_official_first_name": "FRANCIS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER / MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "978-537-3900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Worcester, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2017; 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.