Premier Family Eyecare PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

4276 Issued in MA

Legal business name

PREMIER FAMILY EYECARE PC

Practice address

612 Washington St
Canton, MA 02021-3032

Phone

(781) 828-2212

Fax

(781) 828-1771

NPI assigned

Aug 25, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Victoria S Yampolsky, O.D.NPI 1760417273

Title

Doctor of Optometry

Phone

(781) 828-2212

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Locations

Practitioners 4

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

• Victoria S Yampolsky, OD

  • Optometrist
  • Canton, MA
  • NPI 1760417273
  Medicare reassignment Authorized official
• Robert Myles Golden, O.D.

  • Optometrist
  • Canton, MA
  • NPI 1801907811
  NPD (past)
• Amy Gurland, OD

  • Optometrist
  • Brockton, MA
  • NPI 1326050212
  NPD (past)
• Wendy L Newman-Evans, O.D.

  • Optometrist
  • Canton, MA
  • NPI 1881692598
  NPD (past)

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

{
    "created_epoch": "1219622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245628800000",
    "number": "1497902258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 WASHINGTON ST",
            "city": "CANTON",
            "state": "MA",
            "postal_code": "020213032",
            "telephone_number": "781-828-2212",
            "fax_number": "781-828-1771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 WASHINGTON ST",
            "city": "CANTON",
            "state": "MA",
            "postal_code": "020213032",
            "telephone_number": "781-828-2212",
            "fax_number": "781-828-1771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER FAMILY EYECARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-25",
        "last_updated": "2009-06-22",
        "status": "A",
        "authorized_official_last_name": "YAMPOLSKY",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "DOCTOR OF OPTOMETRY",
        "authorized_official_telephone_number": "17818282212",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MA",
            "license": "4276",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "9941241",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "W20487",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ann Marie Polillio, RN
• Bethany Klawsnik Polnar, DMD
• Sheila Gail Pransky, LICSW
• Precious You Healthcare LLC
• Precious You Healthcare Staffing Agency LLC
• Premise Health of Massachusetts Medical PC
• Premium Homecare Agency LLC
• Promptcare New England Respiratory, LLC
• Leah Paige Przybyszewski, FNP
• Mary Pyzik

• Optometrist in Canton, MA
• Providers in Canton, MA by specialty
• Optometrist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2009; 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.