Individual provider Active NPI

David Sardinha, RO

  • Optician
  • Bristol, RI
National Provider Identifier
1295179034
Registry record updated Apr 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
OP128 Issued in RI
Practice address
375 Metacom Ave
Bristol, RI 02809-5179
Phone
(401) 253-5688
Fax
(401) 253-3220
NPI assigned
Apr 23, 2013
Last updated
Apr 23, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X OP128 RI Primary

Addresses

Primary practice location

375 Metacom Ave
Bristol, RI 02809-5179

Mailing address

375 Metacom Ave
Bristol, RI 02809-5179
Phone (401) 253-5688

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
OP128RIMDOptician

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1366675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366675200000",
    "number": "1295179034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "375 METACOM AVE",
            "city": "BRISTOL",
            "state": "RI",
            "postal_code": "028095179",
            "telephone_number": "401-253-5688",
            "fax_number": "401-253-3220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 METACOM AVE",
            "city": "BRISTOL",
            "state": "RI",
            "postal_code": "028095179",
            "telephone_number": "401-253-5688",
            "fax_number": "401-253-3220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARDINHA",
        "first_name": "DAVID",
        "credential": "RO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-23",
        "last_updated": "2013-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "RI",
            "license": "OP128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bristol, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.