Nancy B Iacono, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

ODTG00504 Issued in RI

Practice address

375 Metacom Ave
Bristol, RI 02809-5179

Phone

(401) 253-2020

Fax

(401) 253-3220

NPI assigned

Aug 20, 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

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.

• 20/20 Vision Care, Inc.

  • Optometrist
  • Bristol, RI
  • NPI 1700991932
  Medicare reassignment NPD

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320019200000",
    "number": "1144335357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 BARBARA DR",
            "city": "BRISTOL",
            "state": "RI",
            "postal_code": "028094345",
            "telephone_number": "401-253-2268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 METACOM AVE",
            "city": "BRISTOL",
            "state": "RI",
            "postal_code": "028095179",
            "telephone_number": "401-253-2020",
            "fax_number": "401-253-3220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IACONO",
        "first_name": "NANCY",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-20",
        "last_updated": "2011-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "RI",
            "license": "ODTG00504",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NB07827",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Isabella Emma Holmgren
• Hope Counseling, LLC
• Melanie Hopper Koppelman, DAC
• Madeline Houde, PA-C
• Enxhi Hoxha
• Infinite Medical PC
• Integrative Therapy for Change
• Sarah Jablecki, LICSW
• Nicole Jackson
• Joan S Janek, O.T.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2011; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.