Richard J Provenzano (NPI# 1962456905, PAC ID# 2961485776) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPHTHALMOLOGY.
| Nation Provider ID (NPI) | 1962456905 |
| PAC ID by PECOS | 2961485776 |
| Professional Enrollment ID | I20050614000938 |
| Full Name | Richard J Provenzano |
| Organization Legal Name | ADVANCED EYECARE PC |
| Address |
77 Hospital Ave North Adams MA 01247-2550 |
| Phone Number | 4136646736 |
| Gender | M |
| Credential | MD |
| Medical School | TUFTS UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1975 |
| Primary Specialty | OPHTHALMOLOGY |
| Group Practice PAC ID | 1052301546 |
| Number of Group Practice Members | 11 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 470012 | SOUTHWESTERN VERMONT MEDICAL CENTER |
| 220046 | BERKSHIRE MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 322 Dewey St, Bennington, VT 05201-2225 | 8024478700 | ADVANCED EYECARE PC |
| 77 Hospital Ave, North Adams, MA 01247-2550 | 4136646736 | ADVANCED EYECARE PC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| MIPS_EC_047_overall | Care Plan | 6% | |
| MIPS_EC_238_2+ | Use of High-Risk Medications in the Elderly (100%: worst, 0% best) | 0% | |
| MIPS_EC_238_overall | Use of High-Risk Medications in the Elderly (100%: worst, 0% best) | 0% | |
| MIPS_EC_402_overall | Tobacco Use and Help with Quitting Among Adolescents | 96% |
| Organization Legal Name | ADVANCED EYECARE PC |
| Physicians | 13 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Melissa Marie Enevoldsen | Optometry | Advanced Eyecare PC | 905 W Foxwood Dr, Raymore, MO 64083-7200 |
| Lawrence Dooley Reed | Optometry | Advanced Eyecare PC | 1116 Sw Us Hwy 40, Blue Springs, MO 64015-4610 |
| Dana J Krause | Optometry | Advanced Eyecare PC | 6708 Raytown Rd, Raytown, MO 64133-5272 |
| Michael T Porter | Optometry | Advanced Eyecare PC | 322 Dewey St, Bennington, VT 05201-2225 |
| Erik W Niemi | Ophthalmology | Advanced Eyecare PC | 322 Dewey St, Bennington, VT 05201-2225 |
| Stuart M Duboff | Ophthalmology | Advanced Eyecare PC | 77 Hospital Ave, North Adams, MA 01247-2550 |
| Julie Rachel Lafreniere | Optometry | Advanced Eyecare PC | 1116 Sw Us Hwy 40, Blue Springs, MO 64015-4610 |
| Richard Craig Wilson | Optometry | Advanced Eyecare PC | 6708 Raytown Rd, Raytown, MO 64133-5272 |
| Lauren Michelle Pachy | Optometry | Advanced Eyecare PC | 905 W Foxwood Dr, Raymore, MO 64083-7200 |
| Paula Laroche | Optometry | Advanced Eyecare PC | 322 Dewey St, Bennington, VT 05201-2225 |
| Street Address |
77 HOSPITAL AVE |
| City | NORTH ADAMS |
| State | MA |
| Zip | 01247-2550 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Chi Zhang | Gastroenterology | 77 Hospital Ave, Suite 208, North Adams, MA 01247-2566 | |
| Stuart M Duboff | Ophthalmology | Advanced Eyecare PC | 77 Hospital Ave, North Adams, MA 01247-2550 |
| Robert L Van Uitert | Neurology | 77 Hospital Ave, Suite 202, North Adams, MA 01247-2538 | |
| John J Lapenta | Ophthalmology | Advanced Eyecare PC | 77 Hospital Ave, North Adams, MA 01247-2550 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John S Howland | Psychiatry | 132 Mass Moca Way, North Adams, MA 01247-2446 | |
| Carol Vivori | Nurse Practitioner | 132 Mass Moca Way, Carol Vivori Np, North Adams, MA 01247-2446 | |
| Morton Broch | Psychologist, Clinical | 132 Mass Moca Way, North Adams, MA 01247-2446 | |
| Shahrzad Yamini | Psychiatry | 132 Mass Moca Way, North Adams, MA 01247-2446 | |
| Ashley P Benson | Clinical Social Worker | 132 Mass Moca Way, North Adams, MA 01247-2446 | |
| Kathleen Thunberg | Clinical Social Worker | 1325 Mass Moca Way, North Adams, MA 01247-2473 | |
| Douglas B Oneill | Internal Medicine | Berkshire Faculty Services Inc | 71 Hospital Ave, North Adams, MA 01247-2504 |
| Toyiba H Syed | Internal Medicine | Sound Physicians of Massachusetts Inc | 71 Hospital Ave, North Adams, MA 01247-2504 |
| Sarah A Turner | Internal Medicine | Berkshire Faculty Services Inc | 71 Hospital Ave, North Adams, MA 01247-2504 |
| Kristin E Lamontagne | Internal Medicine | Berkshire Faculty Services Inc | 71 Hospital Ave, North Adams, MA 01247-2504 |
| Find all physicians in zip 01247 | |||
| City | NORTH ADAMS |
| Zip Code | 01247 |
| Specialty | OPHTHALMOLOGY |
| City + Specialty | NORTH ADAMS + OPHTHALMOLOGY |
Please comment or provide details below to improve the information on Richard J Provenzano.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.