Organization Active NPI

Vaughn Eyecare, LLC

  • Clinic/Center
  • Exeter, RI
National Provider Identifier
1063673788
Registry record updated Jun 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
ODTG00525 Issued in RI
Legal business name
VAUGHN EYECARE, LLC
Practice address
567 S County TRL
Suite 305
Exeter, RI 02822-3422
Phone
(401) 295-5955
Fax
(401) 295-4955
NPI assigned
Jun 25, 2008
Last updated
Jun 25, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2008

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

Authorized official

Name
Dr. Robert G. Vaughn Jr., O.D.
Title
Optometrist
Phone
(401) 295-5955

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X ODTG00525 RI Primary

Addresses

Primary practice location

567 S County TRL
Suite 305
Exeter, RI 02822-3422

Mailing address

567 S County TRL
Suite 305
Exeter, RI 02822-3422
Phone (401) 295-5955

Other identifiers 1

IdentifierTypeStateIssuer
1518994342OtherRIINDIVIDUAL NPI #

National Provider Directory

National Provider Directory

Locations

567 South County Trl
Ste 305
Exeter, RI 02822
Phone (401) 295-5955

NPI Registry JSON

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

{
    "created_epoch": "1214352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214352000000",
    "number": "1063673788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "567 S COUNTY TRL",
            "address_2": "SUITE 305",
            "city": "EXETER",
            "state": "RI",
            "postal_code": "028223422",
            "telephone_number": "401-295-5955",
            "fax_number": "401-295-4955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "567 S COUNTY TRL",
            "address_2": "SUITE 305",
            "city": "EXETER",
            "state": "RI",
            "postal_code": "028223422",
            "telephone_number": "401-295-5955",
            "fax_number": "401-295-4955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VAUGHN EYECARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-25",
        "last_updated": "2008-06-25",
        "status": "A",
        "authorized_official_last_name": "VAUGHN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "401-295-5955",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "RI",
            "license": "ODTG00525",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI #",
            "identifier": "1518994342",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Exeter, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2008; 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.