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

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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 (1,151 clinicians)

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 IDStateProvider typePAC IDDetails
I20240829003200 RI Practitioner - Optometry 6002355328 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
Lifespan Physician Group, Inc. Current
since Oct 1, 2024
Accepting new patients
Lifespan Physician Group, Inc. Optometrist Current
since Oct 1, 2024
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)CodeLicenseStatePrimary
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

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jan 7, 2025.

{
    "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

All providers in Providence, RI · Optometrist in Rhode Island

Sources for this page

Verify at the official NPI Registry.