NPIMap

Organization Active NPI

Victorian Eye Care Inc.

  • Optometrist
  • West Warwick, RI
National Provider Identifier
1194043000
Registry record updated Oct 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
ODTA00411 Issued in RI
Legal business name
VICTORIAN EYE CARE INC.
Practice address
215 Legris Ave
West Warwick, RI 02893-2937
Phone
(401) 828-4838
NPI assigned
May 17, 2010
Last updated
Oct 28, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2011

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

Authorized official

Name
Dr. Helene Marie Bradley, O.D.NPI 1700986478
Title
Optometrist
Phone
(401) 828-4838

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X ODTG00544 RI
Optometrist 152W00000X ODTA00411 RI Primary

Addresses

Primary practice location

215 Legris Ave
West Warwick, RI 02893-2937

Mailing address

215 Legris Ave
West Warwick, RI 02893-2937
Phone (401) 828-4838

Other identifiers 2

IdentifierTypeStateIssuer
1700986478MedicaidRI
1992033831MedicaidRI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111102000824 RI Part B Supplier - Clinic/Group Practice 9436177144 Receives reassigned benefits from 1 practitioner
Practice locations: West Warwick, RI

National Provider Directory

National Provider Directory

Locations

215 Legris Ave
West Warwick, RI 02893
Phone (401) 234-6685

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1274054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319760000000",
    "number": "1194043000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 LEGRIS AVE",
            "city": "WEST WARWICK",
            "state": "RI",
            "postal_code": "028932937",
            "telephone_number": "401-828-4838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 LEGRIS AVE",
            "city": "WEST WARWICK",
            "state": "RI",
            "postal_code": "028932937",
            "telephone_number": "401-828-4838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTORIAN EYE CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-17",
        "last_updated": "2011-10-28",
        "status": "A",
        "authorized_official_last_name": "BRADLEY",
        "authorized_official_first_name": "HELENE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "401-828-4838",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "RI",
            "license": "ODTG00544",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "RI",
            "license": "ODTA00411",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1700986478",
            "state": "RI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1992033831",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Warwick, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.