Bridget Peterson, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

ODTG00762 Issued in RI

Practice address

75 Eagle St
Providence, RI 02909-1081

Phone

(401) 273-7100

NPI assigned

Aug 22, 2024

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, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Koch Eye Associates LLPGroup PAC ID 1153213921, 28 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: b.peterson@clarisvision.imwdirect.com

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.

• Koch Eye Associates LLP

  • Ophthalmology Physician
  • Warwick, RI
  • NPI 1194881961

  Optometrist

  Medicare reassignment Care Compare group NPD
• Eye Health Associates of Rhode Island Inc

  • Ophthalmology Physician
  • Middletown, RI
  • NPI 1124370176

  Optometrist

  Medicare reassignment NPD
• Eye Health Associates of Rhode Island Inc

  • Eyewear Supplier
  • Middletown, RI
  • NPI 1114261328
  NPD
• Koch Eye Associates, LLP

  • Eyewear Supplier
  • Woonsocket, RI
  • NPI 1720539240

  Optometrist

  NPD
• Koch Eye Associates LLP

  • Eyewear Supplier
  • Johnston, RI
  • NPI 1568534246

  Optometrist

  NPD (past)

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

{
    "created_epoch": "1724284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724284800000",
    "number": "1285467449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 GILBERT LN",
            "city": "SAUNDERSTOWN",
            "state": "RI",
            "postal_code": "028743023",
            "telephone_number": "401-585-7458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 EAGLE ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029091081",
            "telephone_number": "401-273-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "BRIDGET",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-22",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "RI",
            "license": "ODTG00762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Latonya C Pete, LICSW
• Michael Pete
• Peter Loss, Acsw Inc
• Peter S. Margolis, MD, Inc.
• Ruth Claire Peterle-Dzurec, CNM
• Emily Ann Peterson, PA
• Lisa A Peterson, LMHC LCDP LCDCS MAC
• Lois Peterson, REGISTERED DIETITIAN
• Jenna Petitt, DPT
• Jessica Petrangelo

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2024; 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.