Organization Active NPI

Pittsfield Vision Associates, PC

Doing business as Family Eyecare

  • Optometrist
  • Pittsfield, MA
National Provider Identifier
1619034394
Registry record updated Jan 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
PITTSFIELD VISION ASSOCIATES, PC
Doing business as
Family Eyecare
Practice address
217 South St
Pittsfield, MA 01201-6837
Phone
(413) 499-3797
Fax
(413) 499-3834
NPI assigned
Jan 2, 2007
Last updated
Jan 10, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2008

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

Authorized official

Name
Dr. Sara Kleiner-Goudey, O.D.NPI 1689653800
Title
Owner
Phone
(413) 499-3797

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
Optometrist 152W00000X MA Primary

Addresses

Primary practice location

217 South St
Pittsfield, MA 01201-6837

Mailing address

217 South St
Pittsfield, MA 01201-6837
Phone (413) 499-3797

Other names 1

  • Family Eyecare Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20070125000275 MA Part B Supplier - Clinic/Group Practice 5991706442 Receives reassigned benefits from 2 practitioners
Practice locations: Pittsfield, MA
O20100930061521 MA DME Supplier - Physician - Optometrist 5991706442 Practice locations: Pittsfield, MA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Pittsfiled Vision Associates PC217 South St, Pittsfield, MA 01201-6837(413) 499-3797 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses Accepts assignmentParticipating since Jan 2, 2007

National Provider Directory

National Provider Directory

Locations

217 South St
Pittsfield, MA 01201
Phone (413) 449-3797

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199923200000",
    "number": "1619034394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 SOUTH ST",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012016837",
            "telephone_number": "413-499-3797",
            "fax_number": "413-499-3834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 SOUTH ST",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012016837",
            "telephone_number": "413-499-3797",
            "fax_number": "413-499-3834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PITTSFIELD VISION ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-02",
        "last_updated": "2008-01-10",
        "status": "A",
        "authorized_official_last_name": "KLEINER-GOUDEY",
        "authorized_official_first_name": "SARA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "413-499-3797",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Eyecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pittsfield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.