Holly Rose Torres, OD
Individual provider Active NPI Optometrist · Providence, RI
NPI 1043058712 · NPPES record last updated Jan 7, 2025
Key facts
- NPI
- 1043058712
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- ODTG00760 (RI)
- Practice address
- 1 Hoppin St Ste 202
Providence, RI 02903-4141 - Phone
- (401) 444-6551
- NPI assigned
- Jul 17, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Lifespan Physician Group Inc
Practice addresses (Care Compare)
1 Hoppin St
Suite 202
Providence, RI 02903-4141
Phone (401) 444-6551
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in RI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240829003200 | RI | Practitioner - Optometry | 6002355328 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lifespan Physician Group, Inc. | Current |
Accepting new patients | |
| Lifespan Physician Group, Inc. | Optometrist | Current |
Accepting new patients |
| Lifespan Physician Group, Inc. | Past | Accepting new patients |
Locations
950 Warren Ave
Ste 301
East Providence, RI 02914
Phone (401) 444-3611
950 Warren Ave
Ste 302
East Providence, RI 02914
Phone (401) 444-2701
185A High Service Ave
North Providence, RI 02904
Phone (401) 354-6050
1 Hoppin St
Ste 202
Providence, RI 02903
Phone (401) 444-6551
117 Ellenfield St
Ste 101
Providence, RI 02905
Phone (401) 444-4318
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | ODTG00760 | RI | Yes |
Addresses
Primary practice location
1 Hoppin St Ste 202
Providence, RI 02903-4141
Mailing address
1 Hoppin St Ste 202
Providence, RI 02903-4141
NPI Registry JSON
{
"created_epoch": "1721174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736208000000",
"number": "1043058712",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 HOPPIN ST STE 202",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029034141"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 HOPPIN ST STE 202",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029034141",
"telephone_number": "401-444-6551"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TORRES",
"first_name": "HOLLY",
"middle_name": "ROSE",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-07-17",
"last_updated": "2025-01-07",
"certification_date": "2025-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "RI",
"license": "ODTG00760",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Providence, RI
- Amy Torrence
- Brittany Torres
- Elizabeth Torres
- Emily Torres
- Gisselle Torres
- Jessica Maria Torres
- Keeli Torres
- Nicole Torres
- Christina Tortolani
- Christie A Toth
All providers in Providence, RI · Optometrist in Rhode Island
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 7, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.