Chad Michael Belanger, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

ODTG00763 Issued in RI

Practice address

780 N Main St
Providence, RI 02904-5706

Phone

(401) 331-2020

Fax

(314) 741-4947

NPI assigned

Jun 17, 2005

Last updated

Jul 23, 2025By 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 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY, RI, MA3 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 3

Specialty

Optometry

Education

University Alabama Birmingham - School of Optometry, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Costello Eye Physicians and Surgeons PLLCGroup PAC ID 8628074937, 11 clinicians

Aeg Rhode Island Professional PCGroup PAC ID 3870966369, 9 clinicians

Aeg Massachusetts Professional PCGroup PAC ID 6901282557, 44 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: cbelanger@ceps2056.srs-direct.com
• FHIR API: https://app.meldrx.com/api/fhir/Freedom_CEP

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.

• Aeg Rhode Island Professional, PC

  • Optometrist
  • Pawtucket, RI
  • NPI 1730898263
  Medicare reassignment Care Compare group NPD
• Aeg Massachusetts Professional PC

  • Optometrist
  • Andover, MA
  • NPI 1952035040
  Medicare reassignment Care Compare group NPD
• Costello Eye Physicians & Surgeons, PLLC

  • Ophthalmology Physician
  • Oneida, NY
  • NPI 1699785832

  Optometrist

  Medicare reassignment Care Compare group NPD
• New York Optometry Professional PLLC

  • Optometrist
  • Sidney, NY
  • NPI 1598470544
  Medicare reassignment NPD
• Belanger Eye Care,LLC

  • Optometrist
  • Zachary, LA
  • NPI 1083927578
  Authorized official Same address or phone
• Advanced Eye Care Associates

  • Optometrist
  • Providence, RI
  • NPI 1518973056
  NPD
• Cape Cod Vision Associates Inc

  • Optometrist
  • Falmouth, MA
  • NPI 1831218759
  NPD
• The Eyeglass Store Inc

  dba Family Eye Care Services

  • Optometrist
  • Pawtucket, RI
  • NPI 1437290889
  NPD (past)
• Ia Health Medicine PLLC

  • Interventional Pain Medicine Physician
  • New Hartford, NY
  • NPI 1376433482
  NPD (past)
• Northeastern State University College of Optometry

  • Optometrist
  • Tahlequah, OK
  • NPI 1437106333
  NPD (past)

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

{
    "created_epoch": "1118966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753228800000",
    "number": "1164427969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 MAIN ST",
            "city": "ONEIDA",
            "state": "NY",
            "postal_code": "134211645",
            "telephone_number": "225-328-2499",
            "fax_number": "225-328-2499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "780 N MAIN ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029045706",
            "telephone_number": "401-331-2020",
            "fax_number": "314-741-4947"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "535 Faunce Corner Rd",
            "address_purpose": "LOCATION",
            "city": "North Dartmouth",
            "state": "MA",
            "postal_code": "027471242",
            "country_code": "US",
            "telephone_number": "774-202-6888",
            "fax_number": "314-741-4947",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5801 Main St",
            "address_purpose": "LOCATION",
            "city": "Zachary",
            "state": "LA",
            "postal_code": "707914028",
            "country_code": "US",
            "telephone_number": "225-654-1176",
            "fax_number": "225-654-3047",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "87 Davis Straits",
            "address_purpose": "LOCATION",
            "city": "Falmouth",
            "state": "MA",
            "postal_code": "025403909",
            "country_code": "US",
            "telephone_number": "508-540-3937",
            "fax_number": "314-741-4947",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BELANGER",
        "first_name": "CHAD",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-17",
        "last_updated": "2025-07-23",
        "certification_date": "2025-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "LA",
            "license": "1390521T",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV008866",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "OPT7131",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "RI",
            "license": "ODTG00763",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1475963",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Behavioral Medicine and Health Associates
• Solmaz Behtash, DO
• Michael David Beitle, M.D.
• Jennifer Elizabeth Belair, MSW, LCSW
• Michael D Beland, M.D.
• Terri Belanger, PCNS
• Santosh Belbase, M.D.
• Debra Lynne Belcher, PT,ATC,SCS
• Christa Joelle Maria Belgrave, MD
• Clyde H Belgrave, M.D.

• 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 Jul 23, 2025; 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.