Organization Active NPI

Kent Ophthalmology, Inc.

  • Ophthalmology Physician
  • Warwick, RI
National Provider Identifier
1003911967
Registry record updated Sep 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
6734 Issued in RI
Legal business name
KENT OPHTHALMOLOGY, INC.
Practice address
220 Toll Gate Rd
Warwick, RI 02886-4418
Phone
(401) 732-6640
Fax
(401) 739-5265
NPI assigned
Sep 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. William F. Varr III, M.D.NPI 1457456386
Title
Owner
Phone
(401) 732-6640

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X 6734 RI Primary

Addresses

Primary practice location

220 Toll Gate Rd
Warwick, RI 02886-4418

Mailing address

220 Toll Gate Rd
Warwick, RI 02886-4418
Phone (401) 732-6640

Other identifiers 6

IdentifierTypeStateIssuer
0000002956OtherRIBLUE CROSS & BLUE SHIELD
1133OtherRINEIGHBORHOOD HEALTH PLANS OF RI
616049OtherRITUFTS HEALTH PLAN
9002956MedicaidRI
34247OtherRIDAVIS VISION
AA40708OtherRIHARVARD PILGRIM HEALTHCARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070205000674 RI Part B Supplier - Clinic/Group Practice 3173525136 Receives reassigned benefits from 2 practitioners
Practice locations: Warwick, RI

National Provider Directory

National Provider Directory

Locations

220 Toll Gate Rd
Ste B
Warwick, RI 02886
Phone (401) 732-6640

220 Toll Gate Rd
Warwick, RI 02886
Phone (401) 732-6640

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253145600000",
    "number": "1003911967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 TOLL GATE RD",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028864418",
            "telephone_number": "401-732-6640",
            "fax_number": "401-739-5265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 TOLL GATE RD",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028864418",
            "telephone_number": "401-732-6640",
            "fax_number": "401-739-5265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENT OPHTHALMOLOGY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-14",
        "last_updated": "2009-09-17",
        "status": "A",
        "authorized_official_last_name": "VARR",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "401-732-6640",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "RI",
            "license": "6734",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS & BLUE SHIELD",
            "identifier": "0000002956",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEIGHBORHOOD HEALTH PLANS OF RI",
            "identifier": "1133",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN",
            "identifier": "616049",
            "state": "RI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9002956",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAVIS VISION",
            "identifier": "34247",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM HEALTHCARE",
            "identifier": "AA40708",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warwick, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.