Organization Active NPI

Double Vision Optical Inc.

  • Optician
  • Warwick, RI
National Provider Identifier
1043431042
Registry record updated Dec 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
156 Issued in RI
Legal business name
DOUBLE VISION OPTICAL INC.
Practice address
1168 Warwick Ave
Warwick, RI 02888
Phone
(401) 463-7100
NPI assigned
May 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2015

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

Authorized official

Name
Mr. John Luca Spaziano, OPTICIANNPI 1306217799
Title
President
Phone
(401) 463-7100

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
OpticianGroup: 193200000X MULTI-SPECIALTY GROUP 156FX1800X 156 RI Primary
Eyewear Supplier 332H00000X

Addresses

Primary practice location

1168 Warwick Ave
Warwick, RI 02888

Mailing address

1168 Warwick Ave
Warwick, RI 02888
Phone (401) 463-7100

Other identifiers 2

IdentifierTypeStateIssuer
2100003OtherOHCRC
9007964MedicaidRI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1177977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449619200000",
    "number": "1043431042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1168 WARWICK AVE",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "02888",
            "telephone_number": "401-463-7100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1168 WARWICK AVE",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "02888",
            "telephone_number": "401-463-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUBLE VISION OPTICAL INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-01",
        "last_updated": "2015-12-09",
        "status": "A",
        "authorized_official_last_name": "SPAZIANO",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "LUCA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "401-463-7100",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OPTICIAN"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "RI",
            "license": "156",
            "primary": true
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRC",
            "identifier": "2100003",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9007964",
            "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 Dec 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.