Michael C. Santos, OD, FAAO

Primary specialty

OptometristTaxonomy code 152W00000X

License

ODTG00628 Issued in RI

Practice address

248 Broad St
Cumberland, RI 02864-8134

Phone

(401) 726-2929

NPI assigned

May 6, 2016

Last updated

Feb 28, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in RI, MA2 enrollments

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 2

Specialty

Optometry

Education

New England College of Optometry, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Koch Eye Associates LLPGroup PAC ID 1153213921, 28 clinicians

Cumberland Family Eye Care, LTD.Group PAC ID 7012056021, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

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.

• Cumberland Family Eye Care, LTD.

  • Optometrist
  • Cumberland, RI
  • NPI 1760578181
  Medicare reassignment Care Compare group NPD
• Koch Eye Associates LLP

  • Ophthalmology Physician
  • Warwick, RI
  • NPI 1194881961

  Optometrist

  Medicare reassignment Care Compare group NPD
• North End Community Health Committee Inc

  dba North End Community Health Center

  • Public Health & General Preventive Medicine Physician
  • Boston, MA
  • NPI 1780606608
  Medicare reassignment NPD
• Koch Eye Associates, LLP

  • Eyewear Supplier
  • Woonsocket, RI
  • NPI 1720539240

  Optometrist

  NPD
• Cumberland Family Eye Care, LTD.

  dba East Providence Family Eye Care, Ltd.

  • Optometrist
  • East Providence, RI
  • NPI 1922195890
  NPD (past)
• Koch Eye Associates LLP

  • Eyewear Supplier
  • Johnston, RI
  • NPI 1568534246

  Optometrist

  NPD (past)

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

{
    "created_epoch": "1462492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677542400000",
    "number": "1124474317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 VALLEY STREAM DRIVE",
            "city": "CUMBERLAND",
            "state": "RI",
            "postal_code": "02864",
            "telephone_number": "401-334-2818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "248 BROAD ST",
            "city": "CUMBERLAND",
            "state": "RI",
            "postal_code": "028648134",
            "telephone_number": "401-726-2929"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "556 Toll Gate Rd",
            "address_purpose": "LOCATION",
            "city": "Warwick",
            "state": "RI",
            "postal_code": "02886",
            "country_code": "US",
            "telephone_number": "401-825-0254",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANTOS",
        "first_name": "MICHAEL",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "OD, FAAO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-06",
        "last_updated": "2023-02-28",
        "certification_date": "2022-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "RI",
            "license": "APPLIED FOR",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "RI",
            "license": "ODTG00628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adaisha Rutledge
• Liam Ryder, PT
• Anthony Michael Santare III, D.D.S.
• Cristina P Santos, RPH, CDOE
• Kimberly Ann Santos
• Steven W Santos, O.D.
• Michael J Scampoli
• Cathy J. Schoorens, M.D.
• Wendy E Schwartz, PHD
• Senior Lifestyle Emerald Limited Partnership (Emerald Bay Retirement Living)

• Optometrist in Cumberland, RI
• Providers in Cumberland, RI by specialty
• Optometrist in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2023; 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.