Individual provider Active NPI

Louise M Dichiara Pastore, OD

  • Optometrist
  • Cranston, RI
National Provider Identifier
1235205485
Registry record updated Sep 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
ODTG00462 Issued in RI
Practice address
1150 Reservoir Ave
Ste LL5
Cranston, RI 02920-6068
Phone
(401) 943-8151
Fax
(401) 943-1324
NPI assigned
Nov 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X ODTG00462 RI Primary

Addresses

Primary practice location

1150 Reservoir Ave
Ste LL5
Cranston, RI 02920-6068

Mailing address

1150 Reservoir Ave
Ste LL5
Cranston, RI 02920-6068
Phone (401) 943-8151

Other identifiers 3

IdentifierTypeStateIssuer
1295856540OtherRIORGANIZATION/GROUP NPI
GC00269MedicaidRI
9007935MedicaidRI

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20101027000588 RI Practitioner - Optometry 6608810726 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Garden City Eyecare IncGroup PAC ID 4486618311, 6 clinicians

Practice addresses (Care Compare)

1150 Reservoir Ave
Cranston, RI 02920-6068
Phone (401) 943-8151

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Garden City Eyecare, Inc Optometrist CurrentSince Apr 15, 1993 Accepting new patients

Locations

1150 Reservoir Ave
Ste LL5
Cranston, RI 02920
Phone (401) 943-8151

1150 Reservoir Ave
Unit LL1
Cranston, RI 02920
Phone (401) 943-8151

1150 Reservoir Ave
Cranston, RI 02920
Phone (401) 259-0340

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378425600000",
    "number": "1235205485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 RESERVOIR AVE",
            "address_2": "STE LL5",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029206068",
            "telephone_number": "401-943-8151",
            "fax_number": "401-943-1324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 RESERVOIR AVE",
            "address_2": "STE LL5",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029206068",
            "telephone_number": "401-943-8151",
            "fax_number": "401-943-1324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICHIARA PASTORE",
        "first_name": "LOUISE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-28",
        "last_updated": "2013-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "RI",
            "license": "ODTG00462",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ORGANIZATION/GROUP NPI",
            "identifier": "1295856540",
            "state": "RI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GC00269",
            "state": "RI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9007935",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cranston, RI

Sources for this page

Verify at the official NPI Registry.