Organization Active NPI

Optometric Providers of Rhode Island, Inc

  • Optometrist
  • Syracuse, NY
National Provider Identifier
1295929404
Registry record updated Aug 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
OPTOMETRIC PROVIDERS OF RHODE ISLAND, INC
Practice address
2921 Erie Blvd E
Empire Vision Center, Inc
Syracuse, NY 13224-1430
Phone
(516) 827-6727
Fax
(800) 350-1516
NPI assigned
Aug 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2009

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

Authorized official

Name
Dr. Michael R Iannuccilli, OD
Title
President
Phone
(401) 782-2100

Specialties & licenses 1

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

Addresses

Primary practice location

2921 Erie Blvd E
Empire Vision Center, Inc
Syracuse, NY 13224-1430

Mailing address

91 Point Judith Rd
Optometric Providers of Rhode Island, Inc
Narragansett, RI 02882-3468
Phone (401) 782-2100

National Provider Directory

National Provider Directory

Locations

401 W Main Rd
Middletown, RI 02842
Phone (401) 848-7400

91 Point Judith Rd
Narragansett, RI 02882
Phone (401) 782-2100

553 Kingstown Rd
Wakefield, RI 02879
Phone (401) 284-1515

Practitioners & affiliated clinicians

Practitioners 3

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": "1188432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250035200000",
    "number": "1295929404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91 POINT JUDITH RD",
            "address_2": "OPTOMETRIC PROVIDERS OF RHODE ISLAND, INC",
            "city": "NARRAGANSETT",
            "state": "RI",
            "postal_code": "028823468",
            "telephone_number": "401-782-2100",
            "fax_number": "401-782-2101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2921 ERIE BLVD E",
            "address_2": "EMPIRE VISION CENTER, INC",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132241430",
            "telephone_number": "516-827-6727",
            "fax_number": "800-350-1516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTOMETRIC PROVIDERS OF RHODE ISLAND, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-30",
        "last_updated": "2009-08-12",
        "status": "A",
        "authorized_official_last_name": "IANNUCCILLI",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "401-782-2100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2009; 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.