Eye & Orbit Surgical Associates, PC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

EYE & ORBIT SURGICAL ASSOCIATES, PC

Practice address

15 Dix St
Winchester, MA 01890-1870

Phone

(781) 729-7401

Fax

(781) 729-5160

NPI assigned

Jul 12, 2005

Organization subpart

No

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

Authorized official

Name

Richard Dallow, MD

Title

President

Phone

(781) 729-7401

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1121126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1922006139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 MAIN ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016081604",
            "telephone_number": "508-754-3566",
            "fax_number": "508-798-8012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 DIX ST",
            "city": "WINCHESTER",
            "state": "MA",
            "postal_code": "018901870",
            "telephone_number": "781-729-7401",
            "fax_number": "781-729-5160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE & ORBIT SURGICAL ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-12",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "DALLOW",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "781-729-7401",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9778853",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Caryl Ann Erdos, MSCCCSLP
• Kristine Ann Erickson, OD, PHD
• Kevin Escano, PHARMD
• Rochelle Bell Ettlinger, NURSE PRACTITIONER
• Leonidas E Exarchos, DMD
• Fairmount Emergency Physician Associates, LLC (Winchester Emergency Medical Associates)
• Mallory Feng, M.D.
• Cynthia K Fertman, LMFT LMHC
• Erin Kelly Ficociello
• Fiorillo Dentistry PC

• Ophthalmology Physician in Winchester, MA
• Providers in Winchester, MA by specialty
• Ophthalmology Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.