American Vision Associates, LLC

Primary specialty

Ophthalmic Technician/TechnologistTaxonomy code 156FX1100X

License

159572 Issued in MA

Legal business name

AMERICAN VISION ASSOCIATES, LLC

Practice address

955 Main St
Suite 204
Winchester, MA 01890-1961

Phone

(781) 729-7401

Fax

(781) 729-5160

NPI assigned

Jun 14, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Kailenn Tsao, M.D.NPI 1912961335

Title

Owner

Phone

(781) 729-7401

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/HBGACA

Practitioners 1

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

• Kailenn Tsao, MD

  • Ophthalmology Physician
  • Winchester, MA
  • NPI 1912961335

  MA

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380326400000",
    "number": "1992748370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 88",
            "city": "WINCHESTER",
            "state": "MA",
            "postal_code": "018900188",
            "telephone_number": "781-729-7401",
            "fax_number": "781-729-5160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "955 MAIN ST",
            "address_2": "SUITE 204",
            "city": "WINCHESTER",
            "state": "MA",
            "postal_code": "018901961",
            "telephone_number": "781-729-7401",
            "fax_number": "781-729-5160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN VISION ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-14",
        "last_updated": "2013-09-28",
        "status": "A",
        "authorized_official_last_name": "TSAO",
        "authorized_official_first_name": "KAILENN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "781-729-7401",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "156FX1100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Ophthalmic",
            "state": "MA",
            "license": "159572",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9745980",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• All providers in Winchester, MA
• Ophthalmic Technician/Technologist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2013; 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.