Holly M Misto, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

ODTA00534 Issued in RI

Practice address

17 Wells St
Ste 101
Westerly, RI 02891-2923

Phone

(401) 348-2020

Fax

(401) 596-9348

NPI assigned

May 4, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Optometry

Education

New England College of Optometry, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Coastal Eye Associates IncGroup PAC ID 1254317142, 5 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 and National Provider Directory roles.

• Coastal Eye Associates Inc

  • Optometrist
  • Westerly, RI
  • NPI 1174601132
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335225600000",
    "number": "1144278821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 WELLS ST",
            "address_2": "STE 101",
            "city": "WESTERLY",
            "state": "RI",
            "postal_code": "028912923",
            "telephone_number": "401-348-2020",
            "fax_number": "401-596-9348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 WELLS ST",
            "address_2": "STE 101",
            "city": "WESTERLY",
            "state": "RI",
            "postal_code": "028912923",
            "telephone_number": "401-348-2020",
            "fax_number": "401-596-9348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MISTO",
        "first_name": "HOLLY",
        "middle_name": "M",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-04",
        "last_updated": "2012-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "RI",
            "license": "ODTA00534",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9021231",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Arthur Migliazza, PT, DPT
• Andrew Mikkelsen, DPT
• William Joseph Millette III, PHARMD
• Justin Mink, L.P.C.
• Mary Minn, MD
• MK Counseling and Wellness LLC (MK Counselling and Wellness)
• Vincent A Montemarano, MD
• Betsy L Moody, M.D.
• Elizabeth Morin, MS, CCC-SLP
• Antonietta A. Morrone

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2012; 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.