East Side Vision Care Inc

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

EAST SIDE VISION CARE INC

Practice address

213 Thayer St
Providence, RI 02906-1210

Phone

(401) 421-4500

Fax

(401) 421-3876

NPI assigned

May 16, 2013

Organization subpart

No

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

Authorized official

Name

Dr. David Gabriel

Title

Ceo

Phone

(401) 421-4500

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1368662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368662400000",
    "number": "1073959151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 THAYER ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029061210",
            "telephone_number": "401-421-4500",
            "fax_number": "401-421-3876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 THAYER ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029061210",
            "telephone_number": "401-421-4500",
            "fax_number": "401-421-3876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST SIDE VISION CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-16",
        "last_updated": "2013-05-16",
        "status": "A",
        "authorized_official_last_name": "GABRIEL",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "401-421-4500",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• East Side Primary Care Providence LLC
• East Side Psychiatric Associates, LTD
• East Side Psychotherapy, Inc.
• East Side Psychotherapy, Inc.
• East Side Urgent Care LLC
• Rotunda East, BCC
• Easter Seals Rhode Island
• Easter Seals Rhode Island
• J Donald Easton, MD
• Eastside Chiropractic Center Inc

• Optometrist in Providence, RI
• Providers in Providence, 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 16, 2013; 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.