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NPI Code Detail

MEDICARE: D'AMBROSIO EYE CARE, INC.

MEDICARE: D'AMBROSIO EYE CARE, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1152W00000XOptometrist
2207W00000XOphthalmology Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1467522383
Entity Type Code : Organization
Provider Name (Legal Business Name) : D'AMBROSIO EYE CARE, INC.
Provider Business Mailing Address
First Line : 479 OLD UNION TPKE
Second Line :
City : LANCASTER
State : MA
Zip : 01523-3029
Country : US
Telephone Number : 978-537-3900
Fax Number : 978-537-6030
Provider Business Practice Location Address
First Line : 100 POWDERMILL RD
Second Line :
City : ACTON
State : MA
Zip : 01720-5932
Country : US
Telephone Number : 978-897-7212
Fax Number : 978-461-0345
Authorized Official
Title or Position : OWNER
Name : FRANCIS A D'AMBROSIO JR.
Credential : M.D.
Telephone Number : 978-537-3900
Provider Enumeration Date : 11/08/2006
Last Update Date : 07/07/2010

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Directions to “D'AMBROSIO EYE CARE, INC. ” Practice Location

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