Organization Active NPI

Garden City Eyecare, Inc

  • Optometrist
  • Cranston, RI
National Provider Identifier
1295856540
Registry record updated Jul 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
GARDEN CITY EYECARE, INC
Practice address
1150 Reservoir Ave
LL 5
Cranston, RI 02920-6068
Phone
(401) 943-8151
NPI assigned
Apr 3, 2007
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Mrs. Louise Dichiara Pastore, OD F.A.A.O.NPI 1235205485
Title
President
Phone
(401) 943-8151

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
O20041119000023 RI Part B Supplier - Clinic/Group Practice 4486618311 Receives reassigned benefits from 6 practitioners
Practice locations: Cranston, RI

National Provider Directory

National Provider Directory

Locations

1150 Reservoir Ave
Unit LL1
Cranston, RI 02920
Phone (401) 943-8151

1150 Reservoir Ave
Ste LL5
Cranston, RI 02920
Phone (401) 943-8151

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

NPPES NPI Registry

Primary practice location

1150 Reservoir Ave
LL 5
Cranston, RI 02920-6068

Mailing address

1150 Reservoir Ave
LL 5
Cranston, RI 02920-6068
Phone (401) 943-8151

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
GC00269MedicaidRI

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 10, 2019.

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562716800000",
    "number": "1295856540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 RESERVOIR AVE",
            "address_2": "LL 5",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029206068",
            "telephone_number": "401-943-8151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 RESERVOIR AVE",
            "address_2": "LL 5",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029206068",
            "telephone_number": "401-943-8151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARDEN CITY EYECARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2019-07-10",
        "status": "A",
        "authorized_official_last_name": "DICHIARA PASTORE",
        "authorized_official_first_name": "LOUISE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "401-943-8151",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OD F.A.A.O."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GC00269",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cranston, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2019; 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.

Verify at the official NPI Registry.