Provider Demographics
NPI:1467968149
Name:D'AMBROSIO EYE CARE, INC.
Entity Type:Organization
Organization Name:D'AMBROSIO EYE CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER / MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:FRANCIS
Authorized Official - Middle Name:A
Authorized Official - Last Name:D'AMBROSIO
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:978-537-3900
Mailing Address - Street 1:255 PARK AVE STE 606
Mailing Address - Street 2:
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01609-1930
Mailing Address - Country:US
Mailing Address - Phone:508-753-1032
Mailing Address - Fax:508-755-5705
Practice Address - Street 1:255 PARK AVE STE 606
Practice Address - Street 2:
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01609-1930
Practice Address - Country:US
Practice Address - Phone:508-753-1032
Practice Address - Fax:508-755-5705
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:D'AMBROSIO EYE CARE, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-12-18
Last Update Date:2017-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty