Amy Buonaccorsi, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

ODTG00678 Issued in RI

Practice address

1050 Centerville Rd
Warwick, RI 02886-4209

Phone

(401) 828-3200

NPI assigned

Jun 3, 2019

Last updated

Jun 3, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Optometry

Education

New England College of Optometry, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ocean State Eye CareGroup PAC ID 9032123211, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Ocean State Eye Care

  • Optometrist
  • Warwick, RI
  • NPI 1396711347
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1559520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559520000000",
    "number": "1265090468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 CENTERVILLE RD",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028864209",
            "telephone_number": "401-828-3200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 CENTERVILLE RD",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028864209",
            "telephone_number": "401-828-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUONACCORSI",
        "first_name": "AMY",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-03",
        "last_updated": "2019-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "RI",
            "license": "ODTG00678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia Buckley, NP-C
• Mary E Buckley, LICSW
• Shea Taylor Buckley, DO, MS
• Brenda Bullinger, ISW
• Susan Buntz, CRNA
• Chantele Jeanette Buratczuk
• Natalie Anne Burke
• Leticia Buonanno Burman, PSYD
• Erin M Burton
• Faith Buser

• Optometrist in Warwick, RI
• Providers in Warwick, RI by specialty
• Optometrist in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.