Individual provider Active NPI

Robert W. Hill III, O.D.

  • Optometrist
  • East Providence, RI
National Provider Identifier
1073675856
Registry record updated Mar 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
501-TA Issued in RI
Practice address
400 Warren Ave
East Providence, RI 02914-3807
Phone
(401) 438-4447
Fax
(401) 438-0160
NPI assigned
Dec 15, 2006
Last updated
Mar 27, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2009

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 501-TA RI Primary
Corneal and Contact Management Optometrist 152WC0802X 501-TA RI
Low Vision Rehabilitation Optometrist 152WL0500X 501-TA RI
Pediatric Optometrist 152WP0200X 501-TA RI
Sports Vision Optometrist 152WS0006X 501-TA RI
Vision Therapy Optometrist 152WV0400X 501-TA RI
Occupational Vision Optometrist 152WX0102X 501-TA RI

Addresses

Primary practice location

400 Warren Ave
East Providence, RI 02914-3807

Mailing address

400 Warren Ave
East Providence, RI 02914-3807
Phone (401) 438-4447

Other identifiers 3

IdentifierTypeStateIssuer
27344-8OtherBLUE CROSS BLUE SHIELD
411599OtherHMO BLUE
7010495MedicaidRI

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
I20090327000054 RI Practitioner - Optometry 3173680626 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brown Vision Care, IncGroup PAC ID 3072587849, 5 clinicians

Practice addresses (Care Compare)

400 Warren Ave
East Providence, RI 02914-3826
Phone (401) 438-4447

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery19

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
501-TARIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Brown Vision Care, Inc Optometrist CurrentSince May 1, 2003 Accepting new patients
Brown Vision Care, Inc Optometrist Past Accepting new patients

Locations

338 County Rd
Ste A
Barrington, RI 02806
Phone (401) 247-2020

400 Warren Ave
East Providence, RI 02914
Phone (401) 431-1800

304 Front St
Lincoln, RI 02865
Phone (401) 725-9400

Organizations & group practices 2

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": "1166140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238112000000",
    "number": "1073675856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 WARREN AVE",
            "city": "EAST PROVIDENCE",
            "state": "RI",
            "postal_code": "029143807",
            "telephone_number": "401-438-4447",
            "fax_number": "401-438-0160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 WARREN AVE",
            "city": "EAST PROVIDENCE",
            "state": "RI",
            "postal_code": "029143807",
            "telephone_number": "401-438-4447",
            "fax_number": "401-438-0160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILL",
        "first_name": "ROBERT",
        "middle_name": "W.",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-15",
        "last_updated": "2009-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "RI",
            "license": "501-TA",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "RI",
            "license": "501-TA",
            "primary": false
        },
        {
            "code": "152WL0500X",
            "taxonomy_group": "",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": "RI",
            "license": "501-TA",
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "RI",
            "license": "501-TA",
            "primary": false
        },
        {
            "code": "152WS0006X",
            "taxonomy_group": "",
            "desc": "Optometrist, Sports Vision",
            "state": "RI",
            "license": "501-TA",
            "primary": false
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "RI",
            "license": "501-TA",
            "primary": false
        },
        {
            "code": "152WX0102X",
            "taxonomy_group": "",
            "desc": "Optometrist, Occupational Vision",
            "state": "RI",
            "license": "501-TA",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "27344-8",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMO BLUE",
            "identifier": "411599",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7010495",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Providence, RI

Sources for this page

Verify at the official NPI Registry.