NPIMap

Organization Active NPI

D'Ambrosio Eye Care, Inc.

  • Ophthalmology Physician
  • Leominster, MA
National Provider Identifier
1952750481
Registry record updated Jun 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
D'AMBROSIO EYE CARE, INC.
Practice address
865 Merriam Ave Ste 119
Leominster, MA 01453-1230
Phone
(978) 537-6045
Fax
(978) 534-9845
NPI assigned
Jun 6, 2016
Last updated
Jun 6, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2016

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

Authorized official

Name
Dr. Francis A D'Ambrosio Jr., M.D.NPI 1497789754
Title
Owner/Medical Director
Phone
(978) 537-3900

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
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

865 Merriam Ave Ste 119
Leominster, MA 01453-1230

Mailing address

865 Merriam Ave Ste 119
Leominster, MA 01453-1230
Phone (978) 537-6045

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040514000021 MA Part B Supplier - Clinic/Group Practice 5597755314 Receives reassigned benefits from 13 practitioners
5 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Acton, MA; Athol, MA; Gardner, MA; Lancaster, MA; Worcester, MA

Other NPIs on the same Medicare enrollment 5

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 18

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.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1465171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465171200000",
    "number": "1952750481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "865 MERRIAM AVE STE 119",
            "city": "LEOMINSTER",
            "state": "MA",
            "postal_code": "014531230",
            "telephone_number": "978-537-6045",
            "fax_number": "978-534-9845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "865 MERRIAM AVE STE 119",
            "city": "LEOMINSTER",
            "state": "MA",
            "postal_code": "014531230",
            "telephone_number": "978-537-6045",
            "fax_number": "978-534-9845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "D'AMBROSIO EYE CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-06",
        "last_updated": "2016-06-06",
        "status": "A",
        "authorized_official_last_name": "D'AMBROSIO",
        "authorized_official_first_name": "FRANCIS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "978-537-3900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leominster, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2016; 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.