University Optometrist Services Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

ODT453 Issued in RI

Legal business name

UNIVERSITY OPTOMETRIST SERVICES INC

Practice address

50 Lower College Rd
Kingston, RI 02881

Phone

(401) 874-4063

Fax

(401) 874-7559

NPI assigned

Jul 1, 2008

Last updated

Jul 1, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Dawn Oshea Michael, OD

Title

Optometrist Owner

Phone

(401) 874-4063

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1214870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214870400000",
    "number": "1205098050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 LOWER COLLEGE RD",
            "city": "KINGSTON",
            "state": "RI",
            "postal_code": "02881",
            "telephone_number": "401-874-4063",
            "fax_number": "401-874-7559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 LOWER COLLEGE RD",
            "city": "KINGSTON",
            "state": "RI",
            "postal_code": "02881",
            "telephone_number": "401-874-4063",
            "fax_number": "401-874-7559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OPTOMETRIST SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-01",
        "last_updated": "2008-07-01",
        "status": "A",
        "authorized_official_last_name": "OSHEA MICHAEL",
        "authorized_official_first_name": "DAWN",
        "authorized_official_title_or_position": "OPTOMETRIST OWNER",
        "authorized_official_telephone_number": "401-874-4063",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "RI",
            "license": "ODT453",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "419002976",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Kingston, RI
• Providers in Kingston, 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 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.