Organization Active NPI

Center for Family Vision, PC

  • Optometrist
  • Fall River, MA
National Provider Identifier
1861571754
Registry record updated Jan 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
CENTER FOR FAMILY VISION, PC
Practice address
920 Plymouth Ave
Fall River, MA 02721-1944
Phone
(508) 673-5831
Fax
(508) 676-2128
NPI assigned
Nov 3, 2006
Last updated
Jan 22, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2010

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

Authorized official

Name
Eudoxia E Tsongalis-Arruda, ODNPI 1194804922
Title
President
Phone
(508) 673-5831

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 NU Primary

Addresses

Primary practice location

920 Plymouth Ave
Fall River, MA 02721-1944

Mailing address

920 Plymouth Ave
Fall River, MA 02721-1944
Phone (508) 673-5831

Other identifiers 4

IdentifierTypeStateIssuer
W20176OtherMABLUE CROSS BLUE SHEILD
28640OtherRINEIGHBORHOOD HEALTH PLAN
28598OtherMABMC HEALTHNET
97422514OtherMAMASSHEALTH

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930075595 MA DME Supplier - Physician - Optometrist 9234255936 Practice locations: Fall River, MA
O20120322000428 MA Part B Supplier - Clinic/Group Practice 9234255936 Receives reassigned benefits from 1 practitioner
Practice locations: Fall River, MA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1162512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264118400000",
    "number": "1861571754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 PLYMOUTH AVE",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027211944",
            "telephone_number": "508-673-5831",
            "fax_number": "508-676-2128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 PLYMOUTH AVE",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027211944",
            "telephone_number": "508-673-5831",
            "fax_number": "508-676-2128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR FAMILY VISION, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-03",
        "last_updated": "2010-01-22",
        "status": "A",
        "authorized_official_last_name": "TSONGALIS-ARRUDA",
        "authorized_official_first_name": "EUDOXIA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "508-673-5831",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHEILD",
            "identifier": "W20176",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEIGHBORHOOD HEALTH PLAN",
            "identifier": "28640",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BMC HEALTHNET",
            "identifier": "28598",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASSHEALTH",
            "identifier": "97422514",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fall River, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2010; 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.