Provider Demographics
NPI:1750386298
Name:PIONEER VALLEY EYE ASSOCIATES, PC
Entity type:Organization
Organization Name:PIONEER VALLEY EYE ASSOCIATES, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KATHY
Authorized Official - Middle Name:
Authorized Official - Last Name:MCAUSLAN
Authorized Official - Suffix:
Authorized Official - Credentials:CPC, OCS
Authorized Official - Phone:413-536-8670
Mailing Address - Street 1:2 HOSPITAL DR
Mailing Address - Street 2:STE 201
Mailing Address - City:HOLYOKE
Mailing Address - State:MA
Mailing Address - Zip Code:01040-6614
Mailing Address - Country:US
Mailing Address - Phone:413-536-8670
Mailing Address - Fax:413-534-0597
Practice Address - Street 1:2 HOSPITAL DR
Practice Address - Street 2:STE 201
Practice Address - City:HOLYOKE
Practice Address - State:MA
Practice Address - Zip Code:01040-6614
Practice Address - Country:US
Practice Address - Phone:413-536-8670
Practice Address - Fax:413-534-0597
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty