Individual provider Active NPI

Rickie Kwong Chin Jr., OD

  • Optometrist
  • Providence, RI
National Provider Identifier
1346802568
Registry record updated Jul 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
ODTG00758 Issued in RI
Practice address
891 Westminster St
Providence, RI 02903-4020
Phone
(401) 331-7850
Fax
(401) 274-4739
NPI assigned
Jul 8, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X ODTG00758 RI Primary

Addresses

Primary practice location

891 Westminster St
Providence, RI 02903-4020

Mailing address

891 Westminster St
Providence, RI 02903-4020
Phone (401) 331-7850

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240819000695 RI Practitioner - Optometry 1951735356 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Westminster Eyecare Associates IncGroup PAC ID 6305804907, 11 clinicians

Practice addresses (Care Compare)

891 Westminster St
Providence, RI 02903-4020
Phone (401) 688-2301

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Pritchett Eye Care PC Optometrist Current Accepting new patients
Pritchett Eye Care PC Optometrist CurrentSince Dec 1, 2020 Accepting new patients
Pritchett Eye Care PC Optometrist CurrentSince Dec 1, 2020 Accepting new patients
College Hill Eye and Optical Inc. Optometrist CurrentSince Jul 10, 2024 Accepting new patients
Westminster Eyecare Associates Inc Optometrist CurrentSince Jul 10, 2024 Accepting new patients

Locations

1987 N Carson St
Ste 5
Carson City, NV 89701
Phone (775) 883-2015

415 US Highway 95A S
Unit A
Fernley, NV 89408
Phone (775) 575-5700

1601 E Basin Ave
Ste 101
Pahrump, NV 89060
Phone (775) 751-1791

5961 S Los Altos Pkwy
Ste 101
Sparks, NV 89436
Phone (775) 359-2020

868 Reservoir Ave
Cranston, RI 02910
Phone (401) 942-9933

295 S Main St
Providence, RI 02903
Phone (401) 831-2015

891 Westminster St
Providence, RI 02903
Phone (401) 331-7850

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1562544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720569600000",
    "number": "1346802568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "891 WESTMINSTER ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029034020",
            "telephone_number": "401-331-7850",
            "fax_number": "401-274-4739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "891 WESTMINSTER ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029034020",
            "telephone_number": "401-331-7850",
            "fax_number": "401-274-4739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIN",
        "first_name": "RICKIE",
        "middle_name": "KWONG",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-08",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "RI",
            "license": "ODTG00758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Providence, RI

Sources for this page

Verify at the official NPI Registry.