East Bay Surgery Center LLC

Primary specialty

Ophthalmologic Surgery Clinic/CenterTaxonomy code 261QS0132X

Legal business name

EAST BAY SURGERY CENTER LLC

Practice address

440 Swansea Mall Dr
Swansea, MA 02777-4114

Phone

(508) 324-1171

Fax

(508) 324-1181

NPI assigned

Jul 16, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Kris Mineau

Title

Administrator

Phone

(860) 665-0174

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Listed as

East Bay Surgery Center LLCCCN 22C0001051

Medicare certification status

ActiveFrom the Provider of Services file

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

CLIA laboratory certificates

Locations

Practitioners 2

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

• Robert Jeffrey Hofmann, M.D.

  • Ophthalmology Physician
  • Providence, RI
  • NPI 1972589745
  NPD
• Dominick Zangari Jr., MD

  • Ophthalmology Physician
  • Warren, RI
  • NPI 1932129350
  NPD

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

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187308800000",
    "number": "1831116615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 WILLARD AVE",
            "address_2": "BUILDING 3",
            "city": "NEWINGTON",
            "state": "CT",
            "postal_code": "061112650",
            "telephone_number": "860-665-0174",
            "fax_number": "860-667-2066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 SWANSEA MALL DR",
            "city": "SWANSEA",
            "state": "MA",
            "postal_code": "027774114",
            "telephone_number": "508-324-1171",
            "fax_number": "508-324-1181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST BAY SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-16",
        "last_updated": "2007-08-17",
        "status": "A",
        "authorized_official_last_name": "MINEAU",
        "authorized_official_first_name": "KRIS",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "860-665-0174",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QS0132X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ophthalmologic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Kathleen Ducey
• Hailey Ducharme
• Lisa Marie Dumont
• David M Dunn II, R.PH
• Robert Paul Duquette, OPTOMETRIST
• Brenda J Eastman
• John E Eastman
• Anastasia Eliopoulos, REGISTERED NURSE
• Ava Emken
• Jillian Estrela, PHARMD

• Ophthalmologic Surgery Clinic/Center in Swansea, MA
• Providers in Swansea, MA by specialty
• Ophthalmologic Surgery Clinic/Center in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2007; 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.