Roger Beaudet, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

333TA Issued in RI

Practice address

501 Great Rd Ste 107
North Smithfield, RI 02896-6833

Phone

(401) 769-6252

Fax

(401) 769-2460

NPI assigned

Sep 16, 2006

Sex

Male

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 12, 2008.

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210550400000",
    "number": "1295831196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 GREAT RD STE 107",
            "city": "NORTH SMITHFIELD",
            "state": "RI",
            "postal_code": "028966833",
            "telephone_number": "401-769-6252",
            "fax_number": "401-769-2460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 GREAT RD STE 107",
            "city": "NORTH SMITHFIELD",
            "state": "RI",
            "postal_code": "028966833",
            "telephone_number": "401-769-6252",
            "fax_number": "401-769-2460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAUDET",
        "first_name": "ROGER",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-16",
        "last_updated": "2008-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "RI",
            "license": "333TA",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9009721",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dennis Joseph Aumentado, M.D.
• Devin K Azulay
• Alvin C Bacon, DO
• Monika Maria Bailey
• Tanisha K Baker, MASSAGE THERAPIST
• Deborah Ann Beauvais, NP
• Daniel James Becker, D.C.
• Sharon Nancy Benson, RNP-C
• Leah Rebeccah Berke
• Gina Bianchi, RN

• All providers in North Smithfield, RI
• Optometrist in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2008; 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.