Rhonda L Fauteux, A.B.O.C.

Primary specialty

OpticianTaxonomy code 156FX1800X

License

35039 Issued in MA

Practice address

14 7TH St N
Edgartown, MA 02539-3240

Phone

(508) 627-1342

Fax

(508) 627-8706

NPI assigned

Apr 13, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cedarville Eye Associates PC

  • Optometrist
  • Plymouth, MA
  • NPI 1548477821
  NPD (past)

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891910238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "#14 7TH ST.",
            "address_2": "PO BOX 3240",
            "city": "EDGARTOWN",
            "state": "MA",
            "postal_code": "025393240",
            "telephone_number": "508-627-1342",
            "fax_number": "508-627-8706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 7TH ST N",
            "city": "EDGARTOWN",
            "state": "MA",
            "postal_code": "025393240",
            "telephone_number": "508-627-1342",
            "fax_number": "508-627-8706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAUTEUX",
        "first_name": "RHONDA",
        "middle_name": "L",
        "credential": "A.B.O.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "MA",
            "license": "35039",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0313092",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jenna A Delsapio, NP
• Marcia L Denine, NP
• Michael Ditchfield, MSW.,LICSW
• Dukes County Sheriff's Office
• Edgartown Dental Group LLC
• Molly Bonner Flam
• Francine Agnoli (Silver Rose Designs)
• Carol Lynn Goldstein, MD
• Eric Myles Gordon, PT
• Kristen Grella

• Optician in Edgartown, MA
• Providers in Edgartown, MA by specialty
• Optician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.