Organization Active NPI

Pro Vision Inc. Dba Ferocious Eyes Optical

  • Durable Medical Equipment & Medical Supplies
  • N Kingstown, RI
National Provider Identifier
1295860419
Registry record updated Jun 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
RI114 Issued in RI
Legal business name
PRO VISION INC. DBA FEROCIOUS EYES OPTICAL
Practice address
7665 Post Rd
N Kingstown, RI 02852-3220
Phone
(401) 295-1334
NPI assigned
Feb 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2008

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

Authorized official

Name
John J Lynch, R.O.NPI 1013164359
Title
Optician
Phone
(401) 295-1334

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X RI114 RI Primary

Addresses

Primary practice location

7665 Post Rd
N Kingstown, RI 02852-3220

Mailing address

7665 Post Rd
N Kingstown, RI 02852-3220
Phone (401) 295-1334

Other identifiers 2

IdentifierTypeStateIssuer
407390OtherRIBLUECHIP
PV13450MedicaidRI

National Provider Directory

National Provider Directory

Locations

7665 Post Rd
North Kingstown, RI 02852
Phone (401) 295-1334

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1295860419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7665 POST RD",
            "city": "N KINGSTOWN",
            "state": "RI",
            "postal_code": "028523220",
            "telephone_number": "401-295-1334",
            "fax_number": "401-295-1358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7665 POST RD",
            "city": "N KINGSTOWN",
            "state": "RI",
            "postal_code": "028523220",
            "telephone_number": "401-295-1334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRO VISION INC. DBA FEROCIOUS EYES OPTICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "LYNCH",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OPTICIAN",
        "authorized_official_telephone_number": "401-295-1334",
        "authorized_official_credential": "R.O."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "RI",
            "license": "RI114",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECHIP",
            "identifier": "407390",
            "state": "RI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PV13450",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in N Kingstown, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.