Joshua Anthony Pangborn, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

CODTG00771 Issued in RI

Practice address

133 Main St
South Kingstown, RI 02879-3511

Phone

(401) 782-8150

NPI assigned

May 14, 2025

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in RI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Pangborn Premier Eye Care, Inc.

  • Optometrist
  • Wakefield, RI
  • NPI 1447130505
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1747180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747180800000",
    "number": "1063203529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 CHARLESTOWN BEACH RD",
            "city": "CHARLESTOWN",
            "state": "RI",
            "postal_code": "028132447",
            "telephone_number": "401-742-6400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 MAIN ST",
            "city": "SOUTH KINGSTOWN",
            "state": "RI",
            "postal_code": "028793511",
            "telephone_number": "401-782-8150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANGBORN",
        "first_name": "JOSHUA",
        "middle_name": "ANTHONY",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-05-14",
        "last_updated": "2025-05-14",
        "certification_date": "2025-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "RI",
            "license": "CODTG00771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Nolte, PA
• Cynthia Lynne Notarianni, APRN
• Teryn Jean O'Brien, LMHC-A
• Ophthalmology Inc (The Rhode Island Eye Institute)
• Abigail Owen, POST DOCTORATE
• Aaron Pelchat, LICSW
• Selena Perry
• Perspectives Corporation
• Jennifer Lea Quattrini, LICSW
• Bethany Rallis, PH.D., LCP

• Optometrist in South Kingstown, RI
• Providers in South Kingstown, RI by specialty
• Optometrist in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.