NPIMap

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
Last updated
Aug 12, 2009By the provider in NPPES
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, ODNPI 1972554053
Title
President
Phone
(401) 782-2100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

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

91 Point Judith Rd
Ste 2
Narragansett, RI 02882
Phone (401) 782-2100

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

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.