NPIMap

Organization Active NPI

Paul a Decesare O

Doing business as DeCesare Eye Assoc

  • Optometrist
  • Providence, RI
National Provider Identifier
1225207038
Registry record updated Dec 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
00322 Issued in RI
Legal business name
PAUL A DECESARE O
Doing business as
DeCesare Eye Assoc
Practice address
354 Broadway
Providence, RI 02909-1434
Phone
(401) 331-4475
Fax
(401) 273-5742
NPI assigned
Feb 26, 2008
Last updated
Dec 23, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2009

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

Authorized official

Name
Dr. Paul DecesareNPI 1205826997
Title
Optometrist
Phone
(401) 331-4475

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 00322 RI Primary

Addresses

Primary practice location

354 Broadway
Providence, RI 02909-1434

Mailing address

354 Broadway
Providence, RI 02909-1434
Phone (401) 331-4475

Other identifiers 2

IdentifierTypeStateIssuer
PC03311MedicaidRI
1705OtherRINHP

Other names 1

  • DeCesare Eye Assoc Doing business as

National Provider Directory

National Provider Directory

Locations

354 Broadway
Providence, RI 02909
Phone (401) 331-4475

Practitioners & affiliated clinicians

Practitioners 1

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": "1203984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261526400000",
    "number": "1225207038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "354 BROADWAY",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029091434",
            "telephone_number": "401-331-4475",
            "fax_number": "401-273-5742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "354 BROADWAY",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029091434",
            "telephone_number": "401-331-4475",
            "fax_number": "401-273-5742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL A DECESARE O",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-26",
        "last_updated": "2009-12-23",
        "status": "A",
        "authorized_official_last_name": "DECESARE",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "401-331-4475",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "RI",
            "license": "00322",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PC03311",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NHP",
            "identifier": "1705",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DeCesare Eye Assoc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Providence, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2009; 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.