Individual provider Active NPI

Steven W Santos, O.D.

  • Optometrist
  • Cumberland, RI
National Provider Identifier
1306833868
Registry record updated Sep 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
ODTG428 Issued in RI
Practice address
248 Broad St
Cumberland, RI 02864-8134
Phone
(401) 726-2929
Fax
(401) 729-1054
NPI assigned
Sep 30, 2005
Last updated
Sep 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3543 MA
Optometrist 152W00000X ODTG428 RI Primary

Addresses

Primary practice location

248 Broad St
Cumberland, RI 02864-8134

Mailing address

248 Broad St
Cumberland, RI 02864-8134
Phone (401) 726-2929

Other identifiers 2

IdentifierTypeStateIssuer
03000080MedicaidMA
7003178MedicaidRI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI, MA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20091204000379 RI Practitioner - Optometry 9739228743 Reassigns benefits to 1 organization
I20100310000796 MA Practitioner - Optometry 9739228743 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cumberland Family Eye Care, LTD.Group PAC ID 7012056021, 3 clinicians
Eye Health Associates IncGroup PAC ID 0244482883, 26 clinicians

Practice addresses (Care Compare)

248 Broad St
Cumberland, RI 02864-8134
Phone (401) 726-2929

51 State Rd
Dartmouth, MA 02747-3319
Phone 77432030404215

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ODTG428RIMDOptometrist
3543MAMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Health Associates Inc CurrentSince Dec 1, 2012 Accepting new patients
Cumberland Family Eye Care, LTD. Optometrist CurrentSince Sep 24, 1990 Accepting new patients
Cumberland Family Eye Care, LTD. Optometrist CurrentSince Sep 24, 1990 Accepting new patients
Eye Health Associates Inc Optometrist CurrentSince Dec 1, 2012 Accepting new patients
Eye Health Associates SPN LLC Past Accepting new patients

Locations

933 Pleasant St
Fall River, MA 02723
Phone (508) 673-2020

51 State Rd
North Dartmouth, MA 02747
Phone (508) 994-1400

248 Broad St
Cumberland, RI 02864
Phone (401) 726-2929

250 Wampanoag Trl
Ste 304
Riverside, RI 02915
Phone (401) 435-5555

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1128038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663718400000",
    "number": "1306833868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "248 BROAD ST",
            "city": "CUMBERLAND",
            "state": "RI",
            "postal_code": "028648134",
            "telephone_number": "401-726-2929",
            "fax_number": "401-729-1054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "248 BROAD ST",
            "city": "CUMBERLAND",
            "state": "RI",
            "postal_code": "028648134",
            "telephone_number": "401-726-2929",
            "fax_number": "401-729-1054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTOS",
        "first_name": "STEVEN",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-30",
        "last_updated": "2022-09-21",
        "certification_date": "2022-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "3543",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "RI",
            "license": "ODTG428",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03000080",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7003178",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumberland, RI

Sources for this page

Verify at the official NPI Registry.