PIONEER VALLEY EYE SURGERY AND LASER CENTER, LLC (NPI# 1770569964) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770569964 |
| Entity Type | Organization |
| Organization Name | PIONEER VALLEY EYE SURGERY AND LASER CENTER, LLC |
| Practice Address |
271 Carew St Springfield MA 01104-2377 |
| Mailing Address |
275 Bicentennial Hwy Springfield MA 01118-1900 |
| Practice Telephone | 4137833100 |
| Practice Fax Number | 4137827998 |
| Mailing Telephone | 4137833100 |
| Mailing Fax Number | 4137827998 |
| Enumeration Date | 2005-12-20 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. STEVEN T. BERGER (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 4137833100 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QS0132X |
Clinic/Center Specialization: Ophthalmologic Surgery |
NONE | MA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | BLUE SHIELD OF MASSACHUSE | M88017 | 01 |
| MA | TUFTS | 681722 | 01 |
| Street Address |
271 CAREW ST |
| City | SPRINGFIELD |
| State | MA |
| Zip Code | 01104-2377 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013911957 | Jeffrey Lawrence Friedman | Specialist | 271 Carew St, Springfield, MA 01104-2377 | 2005-06-09 |
| 1700401213 | Laura Quink | Physician Assistant | 271 Carew St, Springfield, MA 01104-2377 | 2020-06-10 |
| 1235784943 | Alyssa L. Fleurent | Physician Assistant | 271 Carew St, Springfield, MA 01104-2377 | 2019-08-08 |
| 1962061929 | Emily Mckenna Clough | Physician Assistant | 271 Carew St, Springfield, MA 01104-2377 | 2019-06-12 |
| 1508425109 | Christopher Clark | Physician Assistant | 271 Carew St, Springfield, MA 01104-2377 | 2019-06-07 |
| 1851955256 | Bernard Sanvie | Physician Assistant | 271 Carew St, Springfield, MA 01104-2377 | 2019-05-01 |
| 1669036737 | Adfinitas Health At The Mercy Hospital Pllc | Hospitalist | 271 Carew St, Springfield, MA 01104-2377 | 2019-04-24 |
| 1326502238 | Woodland Anesthesiology Associates, P.C. | Anesthesiology | 271 Carew St, Springfield, MA 01104-2377 | 2019-01-24 |
| 1912480351 | Sarah Gagnon | Nurse Practitioner | 271 Carew St, Springfield, MA 01104-2377 | 2018-09-12 |
| 1922580984 | Samantha Abraham | Physician Assistant | 271 Carew St, Springfield, MA 01104-2377 | 2018-09-05 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346727567 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 2155 Main Street, Suite 131/133, Springfield, MA 01104 | 2018-07-20 |
| 1508385618 | Demetrios Sotiropoulos | Physician Assistant | 175 Carew St Ste 250, Springfield, MA 01104 | 2017-09-11 |
| 1114382942 | Rosana Rivera-delgado | Psychologist | 4017 Liberty St, Springfield, MA 01104 | 2015-12-21 |
| 1417363516 | Springfield Family Pharmacy, Inc | Pharmacy | 175 Carew St, Suite 100, Springfield, MA 01104 | 2014-07-09 |
| 1437588837 | Ariam Ivette Pena | Counselor | 85 St. George Road, Springfield, MA 01104 | 2013-11-06 |
| 1891124293 | Ana E. Centeno | Counselor | 85 St. George Road., Springfield, MA 01104 | 2013-11-06 |
| 1275962003 | Swany Matos | Counselor | 2155 Main St., Springfield, MA 01104 | 2013-11-02 |
| 1184053910 | Claudia Eileen Quesada | Counselor | 2155 Main Street and St. George Road, The Gandara Center, Springfield, MA 01104 | 2013-11-02 |
| 1194023044 | Hungry Hill Family Practice | Clinic/Center | 776 Liberty Street, Hungry Hill Family Practice, Springfield, MA 01104 | 2011-03-02 |
| 1710115308 | Michael Allen Roche | Counselor | 332 Bernie Ave, Center for Human Development, Springfield, MA 01104 | 2009-06-23 |
| Find all providers in zip 01104 | ||||
| Taxonomy Code | 261QS0132X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ophthalmologic Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245421080 | Theodore M Ingis Md PC | Clinic/Center | 300 Stafford St, Suite 112, Springfield, MA 01104-3581 | 2007-08-07 |
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| 1558987701 | Retina Physicians and Surgeons of New England, Inc. | Clinic/Center | 8 Nottingham Rd, Westborough, MA 01581-2408 | 2020-06-23 |
| 1558436105 | Cataract Laser Centercentral LLC | Clinic/Center | 95 Mechanic St, Gardner, MA 01440-3119 | 2006-11-21 |
| 1922027846 | Bernard L. Mcgowan, M.d., Inc. | Clinic/Center | 297 Union Ave, Framingham, MA 01702-6337 | 2006-07-19 |
| 1770537227 | West Suburban Eye Surgery Center LLC | Clinic/Center | 1440 Main St, Waltham, MA 02451-1623 | 2006-05-20 |
| 1790789741 | Eye Associates PC | Clinic/Center | 172 Cambridge St, Burlington, MA 01803-2984 | 2005-06-08 |
| 1083128441 | P & D Eye Associates LLC | Clinic/Center | 172 Cambridge St, Burlington, MA 01803-2921 | 2017-11-21 |
| 1740736784 | The Cataract Vision Institute LLC | Clinic/Center | 50 Burlington Mall Rd, Suite 101, Burlington, MA 01803-4537 | 2016-08-30 |
| 1497166078 | A. Richard Cote M.d. | Clinic/Center | 302 Highland Ave, Fall River, MA 02720-5402 | 2014-05-16 |
| 1386809978 | The Cataract Surgery Center of Milford, Inc. | Clinic/Center | 145 West St, Milford, MA 01757-2226 | 2008-07-23 |
| 1790862183 | Cataract and Laser Center of The North Shore, LLC | Clinic/Center | 349 N Main St, Andover, MA 01810-2687 | 2006-11-01 |
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| City | SPRINGFIELD |
| Zip Code | 01104 |
Please comment or provide details below to improve the information on PIONEER VALLEY EYE SURGERY AND LASER CENTER, LLC.
| 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.