DR. BRUCE G EVENCHIK (NPI# 1225091051) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225091051 |
| Entity Type | Individual |
| Full Name | DR. BRUCE G EVENCHIK |
| Credential | M.D. |
| Practice Address |
740 Williams St Pittsfield MA 01201-7463 |
| Practice Telephone | 4134454564 |
| Practice Fax Number | 4134482727 |
| Mailing Telephone | 4134454564 |
| Mailing Fax Number | 4134482727 |
| Enumeration Date | 2006-04-11 |
| Last Update Date | 2009-04-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 47753 | MA | Allopathic & Osteopathic Physicians |
| N | 207W00000X | Ophthalmology | 148821 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 0154954 | 05 | |
| MA | GB MEDICARE NSC | 1010050002 | 01 |
| Street Address |
740 WILLIAMS ST |
| City | PITTSFIELD |
| State | MA |
| Zip Code | 01201-7463 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396747556 | Marcin Marek Zygawski | Specialist | 740 Williams St, Suite #3, Pittsfield, MA 01201-7463 | 2005-06-01 |
| 1023562881 | Williston Mortenson | Physical Therapist | 740 Williams St, Ste 1, Pittsfield, MA 01201-7463 | 2016-08-10 |
| 1619336500 | Pioneer Valley Orthotics & Prosthetics, Inc. | Prosthetic/Orthotic Supplier | 740 Williams St, Pittsfield, MA 01201-7463 | 2016-02-19 |
| 1740658079 | Amanda Roberts | Physical Therapist | 740 Williams St, Pittsfield, MA 01201-7463 | 2015-09-03 |
| 1932453545 | Elizabeth Joppru | Physical Therapist | 740 Williams St, Ste 1, Pittsfield, MA 01201-7463 | 2012-11-05 |
| 1235395856 | Preventive Medicine Associates | Family Medicine | 740 Williams St, Suite 10, Pittsfield, MA 01201-7463 | 2008-08-03 |
| 1518135839 | Andrea J Vallon | Occupational Therapist | 740 Williams St, Pittsfield, MA 01201-7463 | 2008-02-20 |
| 1659555340 | Joy Marie Milani | Physical Therapist | 740 Williams St, Pittsfield, MA 01201-7463 | 2007-12-18 |
| 1174729313 | Physical Therapy Associates of Schenectady, P.C. | Physical Therapist | 740 Williams St, Pittsfield, MA 01201-7463 | 2007-06-25 |
| 1790988491 | Andrea M. Bodine, M.d., P.C. | Specialist | 740 Williams St, Pittsfield, MA 01201-7463 | 2007-06-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194292326 | Dominic Boudini | Social Worker | Berkshire Medical Center Jones IIi, 777 North Street, Pittsfield, MA 01201 | 2018-10-25 |
| 1770066433 | Michelle P Racicot | Physical Therapy Assistant | 144 Brighton Ave, Pittsfield, MA 01201 | 2018-09-10 |
| 1659853927 | Janis W. Zimbler | Social Worker | 49 Kenilworth Street, Pittsfield, MA 01201 | 2018-09-04 |
| 1528545225 | Claudia L Coplan | Social Worker | 262 Appleton Avenue, Pittsfield, MA 01201 | 2018-07-25 |
| 1255852083 | Vandana Sethi | Dentist | Chp Neighborhood Dental Center, 510 North Street, Suite 1, Pittsfield, MA 01201 | 2017-07-01 |
| 1770011819 | Vladimir Nazarov | Dentist | 690 Merrill Road, Pittsfield, MA 01201 | 2017-06-02 |
| 1215462254 | Anqi Hu | Dentist | 788 South Street, Pittsfield, Ma 01201, Pittsfield, MA 01201 | 2017-04-27 |
| 1942759162 | Community Health Programs, Inc | Clinic/Center | 510 North St., Pittsfield, MA 01201 | 2016-09-29 |
| 1366990590 | Daniel Pinsky I | Counselor | 877 South Street, Clinical Support Options Suite 200, Pittsfiled, MA 01201 | 2016-09-16 |
| 1275086746 | Berkshire Medical Center, Inc | Substance Abuse Rehabilitation Facility | 48 Kent Ave, Pittsfield, MA 01201 | 2016-08-01 |
| Find all providers in zip 01201 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104200468 | Nigel A Stippa | Ophthalmology | 740 Williams St Ste 3, Pittsfield, MA 01201-7462 | 2015-07-16 |
| 1407147622 | Ophthalmology Consultants, LLC | Ophthalmology | 201 N Madison St, Pittsfield, IL 62363-1447 | 2011-04-21 |
| 1780887513 | Andrew W. Danyluk Md PC | Ophthalmology | 777 North St, 3rd Floor, Pittsfield, MA 01201-4147 | 2007-06-08 |
| 1295806875 | Pike County Eye Care Center | Ophthalmology | 101 E Washington St, Pittsfield, IL 62363-1436 | 2006-11-13 |
| 1598708968 | Fred Orlando | Ophthalmology | 740 Williams St, Pittsfield, MA 01201-7463 | 2006-06-14 |
| 1801839287 | Neal E Ginsberg | Ophthalmology | 740 Williams St, Pittsfield, MA 01201-7463 | 2006-06-14 |
| 1720027188 | Gregory Dawson Shouldice | Ophthalmology | 740 Williams St, Pittsfield, MA 01201-7463 | 2006-06-04 |
| 1003816695 | Andrew Walter Danyluk | Ophthalmology | 777 North St, Pittsfield, MA 01201-4172 | 2005-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306450903 | Barsam Vision Care LLC | Ophthalmology | 135 Beaver St Ste 309, Waltham, MA 02452-8412 | 2020-09-02 |
| 1629622188 | Nsea Whaipa LLC | Ophthalmology | 669 Main Street, Wakefield, MA 01880-5221 | 2019-08-01 |
| 1346894896 | Nsea Macipa LLC | Ophthalmology | 135 Beaver Street Ste 309, Waltham, MA 02452 | 2019-08-01 |
| 1083170047 | Gilbertlahey LLC | Ophthalmology | 101 Main St Ste 208, Medford, MA 02155-4530 | 2019-02-14 |
| 1467968149 | D'ambrosio Eye Care, Inc. | Ophthalmology | 255 Park Ave Ste 606, Worcester, MA 01609-1930 | 2017-12-18 |
| 1114436151 | Mohammad-hossein Mohammad-shahi | Ophthalmology | 330 Brookline Ave # Cc522, Boston, MA 02215-5400 | 2017-09-21 |
| 1366961120 | Boston Eye Care Center, LLC | Ophthalmology | 2464 Massachusetts Ave Ste 200, Cambridge, MA 02140 | 2017-09-13 |
| 1306360912 | Mary-magdalene Dodd | Ophthalmology | 300 Longwood Ave # 4, Boston, MA 02115-5724 | 2017-07-26 |
| 1861925703 | Medical Eye Care Associates, P.C. | Ophthalmology | 95 Chapel St Ste 1a, Norwood, MA 02062-3161 | 2017-04-07 |
| 1548619851 | Si-liang Peng | Ophthalmology | 1101 Beacon St Ste 6, Brookline, MA 02446-5585 | 2016-06-07 |
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| City | PITTSFIELD |
| Zip Code | 01201 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.