Individual provider Active NPI

John S Corvese, O.D.

  • Optometrist
  • Cranston, RI
National Provider Identifier
1073613741
Registry record updated Dec 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
ODTG00517 Issued in RI
Practice address
868 Reservoir Ave
Cranston, RI 02910-4414
Phone
(401) 942-9933
Fax
(401) 270-2491
NPI assigned
Sep 23, 2006
Last updated
Dec 12, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X ODTG00517 RI Primary

Addresses

Primary practice location

868 Reservoir Ave
Cranston, RI 02910-4414

Mailing address

868 Reservoir Ave
Cranston, RI 02910-4414
Phone (401) 942-9933

Other practice location 1

1543 Smith St
North Providence, RI 02911-2943
Phone (401) 353-2010

Other practice location 2

891 Westminster St
Providence, RI 02903-4020
Phone (401) 331-7850

Other practice location 3

319 Pocasset Ave
Providence, RI 02909-4800
Phone (401) 942-1444

Other identifiers 2

IdentifierTypeStateIssuer
9007909MedicaidRI
1073613741MedicaidRI

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20040203000687 RI Practitioner - Optometry 0648175307 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Westminster Eyecare Associates IncGroup PAC ID 6305804907, 11 clinicians

Practice addresses (Care Compare)

19 Broadway
Newport, RI 02840-2937
Phone (401) 845-0564

891 Westminster St
Providence, RI 02903-4020
Phone (401) 688-2301

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
380RIMDPsychologist
ODTG00517RIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Westminster Eyecare Associates Inc Optometrist CurrentSince Nov 20, 2023 Accepting new patients
East Bay Community Action Program CurrentSince Jan 1, 2010 Accepting new patients
East Bay Community Action Program Current Accepting new patients
East Bay Community Action Program Past Accepting new patients

Locations

868 Reservoir Ave
Cranston, RI 02910
Phone (401) 942-9933

19 Broadway
Newport, RI 02840
Phone (401) 845-0564

6 John H Chafee Blvd
Newport, RI 02840
Phone (401) 239-1208

1543 Smith St
North Providence, RI 02911
Phone (401) 353-2010

319 Pocasset Ave
Providence, RI 02909
Phone (401) 842-1444

891 Westminster St
Providence, RI 02903
Phone (401) 331-7850

100 Bullocks Point Ave
Riverside, RI 02915
Phone (401) 437-1000

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1158969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702339200000",
    "number": "1073613741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "868 RESERVOIR AVE",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029104414",
            "telephone_number": "401-942-9933",
            "fax_number": "401-270-2491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "868 RESERVOIR AVE",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029104414",
            "telephone_number": "401-942-9933",
            "fax_number": "401-270-2491"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1543 Smith St",
            "address_purpose": "LOCATION",
            "city": "North Providence",
            "state": "RI",
            "postal_code": "029112943",
            "country_code": "US",
            "telephone_number": "401-353-2010",
            "fax_number": "401-353-0380",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "891 Westminster St",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029034020",
            "country_code": "US",
            "telephone_number": "401-331-7850",
            "fax_number": "401-274-4739",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "319 Pocasset Ave",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029094800",
            "country_code": "US",
            "telephone_number": "401-942-1444",
            "fax_number": "401-223-7149",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CORVESE",
        "first_name": "JOHN",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-23",
        "last_updated": "2023-12-12",
        "certification_date": "2023-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "RI",
            "license": "ODTG00517",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9007909",
            "state": "RI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1073613741",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cranston, RI

Sources for this page

Verify at the official NPI Registry.