Organization Active NPI

Duquette Family Eye Care Inc

  • Optometrist
  • North Smithfield, RI
National Provider Identifier
1336471747
Registry record updated May 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
ODTG00516 Issued in RI
Legal business name
DUQUETTE FAMILY EYE CARE INC
Practice address
621 Pound Hill Rd
Suite 104
North Smithfield, RI 02896-9358
Phone
(401) 769-6323
Fax
(401) 769-9202
NPI assigned
Feb 10, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2021

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

Authorized official

Name
Dr. Lori Ann Duquette, ODNPI 1063442713
Title
President
Phone
(401) 769-6323

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
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X ODTG00516 RI Primary

Addresses

Primary practice location

621 Pound Hill Rd
Suite 104
North Smithfield, RI 02896-9358

Mailing address

621 Pound Hill Road
Suite 104
North Smithfield, RI 02896-2006
Phone (401) 769-6323

Other identifiers 1

IdentifierTypeStateIssuer
DU79122MedicaidRI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100313000043 RI Part B Supplier - Clinic/Group Practice 4789729880 Receives reassigned benefits from 5 practitioners
Practice locations: North Smithfield, RI
O20110131000097 RI DME Supplier - Physician - Optometrist 4789729880 Practice locations: North Smithfield, RI

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Duquette Family Eye Care Inc621 Pound Hill Rd 104, North Smithfield, RI 02896-9358(401) 769-6323 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses Accepts assignmentParticipating since Feb 1, 2010

National Provider Directory

National Provider Directory

Locations

621 Pound Hill Rd
Ste 104
North Smithfield, RI 02896
Phone (401) 769-6323

Practitioners & affiliated clinicians

Practitioners 6

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": "1265760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620691200000",
    "number": "1336471747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 POUND HILL ROAD",
            "address_2": "SUITE 104",
            "city": "NORTH SMITHFIELD",
            "state": "RI",
            "postal_code": "028962006",
            "telephone_number": "401-769-6323",
            "fax_number": "401-769-9202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 POUND HILL RD",
            "address_2": "SUITE 104",
            "city": "NORTH SMITHFIELD",
            "state": "RI",
            "postal_code": "028969358",
            "telephone_number": "401-769-6323",
            "fax_number": "401-769-9202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUQUETTE FAMILY EYE CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-10",
        "last_updated": "2021-05-11",
        "certification_date": "2021-05-11",
        "status": "A",
        "authorized_official_last_name": "DUQUETTE",
        "authorized_official_first_name": "LORI",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "401-769-6323",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "RI",
            "license": "ODTG00516",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DU79122",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Smithfield, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.