Healthcare Provider Details

I. General information

NPI: 1518146638
Provider Name (Legal Business Name): FALL RIVER VISION CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/25/2007
Last Update Date: 09/03/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

520 NEWTON ST
FALL RIVER MA
02721-2366
US

IV. Provider business mailing address

520 NEWTON ST
FALL RIVER MA
02721-2366
US

V. Phone/Fax

Practice location:
  • Phone: 508-673-2370
  • Fax: 508-673-5834
Mailing address:
  • Phone: 508-673-2370
  • Fax: 508-673-5834

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152WC0802X
TaxonomyCorneal and Contact Management Optometrist
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: DR. DOUGLAS S POSNER
Title or Position: OWNER
Credential: O.D.
Phone: 508-673-2370