Provider Demographics
NPI:1194804922
Name:TSONGALIS-ARRUDA, EUDOXIA E (OD)
Entity type:Individual
Prefix:
First Name:EUDOXIA
Middle Name:E
Last Name:TSONGALIS-ARRUDA
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:920 PLYMOUTH AVE
Mailing Address - Street 2:
Mailing Address - City:FALL RIVER
Mailing Address - State:MA
Mailing Address - Zip Code:02721-1944
Mailing Address - Country:US
Mailing Address - Phone:508-673-5831
Mailing Address - Fax:508-676-2128
Practice Address - Street 1:920 PLYMOUTH AVE
Practice Address - Street 2:
Practice Address - City:FALL RIVER
Practice Address - State:MA
Practice Address - Zip Code:02721-1944
Practice Address - Country:US
Practice Address - Phone:508-673-5831
Practice Address - Fax:508-676-2128
Is Sole Proprietor?:No
Enumeration Date:2006-11-03
Last Update Date:2011-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA4072152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA2200794OtherUNITED HEALTHCARE OF NE
MA5416140OtherCIGNA
RI23836-2OtherBLUE CROS BLUE SHIELD
MA0313831OtherMASSHEALTH
MA38666OtherCHILDREN'S MEDICAL
MA28599OtherBMC HEALTHNET
RI0028632OtherNEIGHBORHOOD HEALTH PLAN
MA004072OtherTUFTS HEALTH PLAN
MA153227OtherHARVARD PILGRIM HEALTH
RI408873OtherBLUE CHIP OF RI
MAW16296OtherBLUE CROSS BLUE SHIELD
MA2200794OtherUNITED HEALTHCARE OF NE
MA5416140OtherCIGNA