Active NPI
Michele R. Palazzolo, O.D.
- Optometrist
- Warwick, RI
National Provider Identifier
1255412557
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- MICHELE R. PALAZZOLO, O.D.
- Practice address
- 300 Toll Gate Rd
Suite 101B
Warwick, RI 02886-4416 - Phone
- (401) 463-3500
- NPI assigned
- Oct 17, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Michele R. Palazzolo, O.D.
- Title
- Optometrist
- Phone
- (401) 463-3500
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary |
Addresses
Primary practice location
300 Toll Gate Rd
Suite 101B
Warwick, RI 02886-4416
Mailing address
300 Toll Gate Rd
Suite 101B
Warwick, RI 02886-4416
Phone (401) 463-3500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in RI
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
400 Bald Hill Rd
Ste 504
Warwick, RI 02886
Phone (401) 463-3500
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161043200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1193616000000",
"number": "1255412557",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 TOLL GATE RD",
"address_2": "SUITE 101B",
"city": "WARWICK",
"state": "RI",
"postal_code": "028864416",
"telephone_number": "401-463-3500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 TOLL GATE RD",
"address_2": "SUITE 101B",
"city": "WARWICK",
"state": "RI",
"postal_code": "028864416",
"telephone_number": "401-463-3500"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MICHELE R. PALAZZOLO, O.D.",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-17",
"last_updated": "2007-10-29",
"status": "A",
"authorized_official_last_name": "PALAZZOLO",
"authorized_official_first_name": "MICHELE",
"authorized_official_middle_name": "R.",
"authorized_official_title_or_position": "OPTOMETRIST",
"authorized_official_telephone_number": "401-463-3500",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Warwick, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2007; 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.