Individual provider Active NPI

Georgia Patsiopoulos, O.D.

  • Optometrist
  • Warwick, RI
National Provider Identifier
1245331982
Registry record updated Dec 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
ODTG00618 Issued in RI
Practice address
222 Jefferson Blvd
Warwick, RI 02888
Phone
(401) 732-2350
Fax
(401) 738-2744
NPI assigned
Sep 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X ODTG00618 RI Primary

Addresses

Primary practice location

222 Jefferson Blvd
Warwick, RI 02888

Mailing address

222 Jefferson Blvd
Warwick, RI 02888-3847
Phone (401) 732-2350

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
I20070802000426 RI Practitioner - Optometry 2365533510 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dr. David W. Ferris and Associates IncGroup PAC ID 9335192996, 3 clinicians

Practice addresses (Care Compare)

222 Jefferson Blvd
Warwick, RI 02888-3847
Phone (401) 732-2350

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ODTG00618RIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Dominick Zangari, Jr., MD, Inc. PastSince Jan 12, 2016 Accepting new patients

Organizations & group practices 2

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": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607385600000",
    "number": "1245331982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 JEFFERSON BLVD",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028883847",
            "telephone_number": "401-732-2350",
            "fax_number": "401-738-2744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 JEFFERSON BLVD",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "02888",
            "telephone_number": "401-732-2350",
            "fax_number": "401-738-2744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATSIOPOULOS",
        "first_name": "GEORGIA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-26",
        "last_updated": "2020-12-08",
        "certification_date": "2020-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "RI",
            "license": "ODTG00618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warwick, RI

Sources for this page

Verify at the official NPI Registry.