Stephen M Montaquila, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

ODTG00460 Issued in RI

Practice address

222 Jefferson Blvd
Warwick, RI 02888-3855

Phone

(401) 732-2350

Fax

(401) 738-2744

NPI assigned

Apr 19, 2006

Last updated

Feb 17, 2009By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in RI

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 1

Specialty

Optometry

Education

New England College of Optometry, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dr. David W. Ferris and Associates IncGroup PAC ID 9335192996, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Dr. David W. Ferris and Associates Inc

  • Optometrist
  • Warwick, RI
  • NPI 1972572998
  Medicare reassignment Care Compare group Authorized official
• Ezra L. Galler, M.D., LTD.

  dba Ezra L. Galler, M.D.

  • Ophthalmology Physician
  • Providence, RI
  • NPI 1184630717

  Optometrist

  NPD

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234828800000",
    "number": "1326003674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 JEFFERSON BLVD",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028883855",
            "telephone_number": "401-732-2350",
            "fax_number": "401-738-2744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 JEFFERSON BLVD",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028883855",
            "telephone_number": "401-732-2350",
            "fax_number": "401-738-2744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTAQUILA",
        "first_name": "STEPHEN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-19",
        "last_updated": "2009-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "RI",
            "license": "ODTG00460",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHIP",
            "identifier": "400433",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM HEALTH",
            "identifier": "AA47839",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "7251720",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH",
            "identifier": "2281709",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• George M Moniz, DPM
• Jessica Lynne Moniz
• Kristin Maria Monk, DPT
• Kathleen Joyce Monroe Roche, MS
• Melissa Monroe, LICSW
• Corin Montecalvo
• Latanya Renee Monteiro
• Michael Alan Monteiro, MS, ATC, CSCS
• Julesa C Montgomery
• Luke Matthew Montgomery, MD

• Optometrist in Warwick, RI
• Providers in Warwick, RI by specialty
• Optometrist in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.