NPIMap

Organization Active NPI

Refocus Eye Health of Ri, LLC

  • Ophthalmology Physician
  • Providence, RI
National Provider Identifier
1043938772
Registry record updated Feb 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
REFOCUS EYE HEALTH OF RI, LLC
Practice address
150 E Manning St
Providence, RI 02906-5109
Phone
(401) 272-2020
NPI assigned
Aug 18, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2023

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

Authorized official

Name
Gaurav Gupta, MDNPI 1366559114
Title
Owner
Phone
(401) 272-2020

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
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

150 E Manning St
Providence, RI 02906-5109

Mailing address

87 Grandview Ave Ste B
Waterbury, CT 06708-2514

Other practice location 1

1525 Wampanoag Trl Ste 105
Riverside, RI 02915-1038
Phone (401) 437-0500

Other practice location 2

235 Hanover St Ste 201
Fall River, MA 02720-5299
Phone (508) 679-0150

Other practice location 3

55 Village Square Dr Bldg 24
South Kingstown, RI 02879-8274
Phone (401) 272-2020

Other names 1

  • Rhode Island Eye Institute Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI, MA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20221111000723 RI Part B Supplier - Clinic/Group Practice 3678940277 Receives reassigned benefits from 17 practitioners
Practice locations: Providence, RI; Riverside, RI; South Kingstown, RI
O20230315000625 MA Part B Supplier - Clinic/Group Practice 3678940277 Receives reassigned benefits from 14 practitioners
Practice locations: Fall River, MA

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Refocus Eye Health of Ri LL3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

55 Village Square Dr
Ste 24
Wakefield, RI 02879
Phone 4012722020146

Practitioners & affiliated clinicians

Practitioners 18

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

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1660780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677110400000",
    "number": "1043938772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "87 GRANDVIEW AVE STE B",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067082514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 E MANNING ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029065109",
            "telephone_number": "401-272-2020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1525 Wampanoag Trl Ste 105",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "RI",
            "postal_code": "029151038",
            "country_code": "US",
            "telephone_number": "401-437-0500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "235 Hanover St Ste 201",
            "address_purpose": "LOCATION",
            "city": "Fall River",
            "state": "MA",
            "postal_code": "027205299",
            "country_code": "US",
            "telephone_number": "508-679-0150",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "55 Village Square Dr Bldg 24",
            "address_purpose": "LOCATION",
            "city": "South Kingstown",
            "state": "RI",
            "postal_code": "028798274",
            "country_code": "US",
            "telephone_number": "401-272-2020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "REFOCUS EYE HEALTH OF RI, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-18",
        "last_updated": "2023-02-23",
        "certification_date": "2023-02-23",
        "status": "A",
        "authorized_official_last_name": "GUPTA",
        "authorized_official_first_name": "GAURAV",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "401-272-2020",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rhode Island Eye Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Providence, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2023; 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.