Organization Active NPI

Ophthalmology Inc

  • Ophthalmology Physician
  • Providence, RI
National Provider Identifier
1366429102
Registry record updated Jul 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD05032 Issued in RI
Legal business name
OPHTHALMOLOGY INC
Practice address
150 E Manning St
Providence, RI 02906-5109
Phone
(401) 272-2020
Fax
(401) 421-5979
NPI assigned
Dec 22, 2005
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Gail P Duell, CPC, CEMC
Title
Accounts Manager
Phone
(401) 272-2010

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

National Provider Directory

Locations

235 Hanover St
Fl 3
Fall River, MA 02720

150 E Manning St
Providence, RI 02906
Phone (401) 272-2020

1525 Wampanoag Trl
Ste 105
Riverside, RI 02915
Phone (401) 437-0500

55 Village Square Dr
Bldg 24
Wakefield, RI 02879
Phone (401) 272-2020

55 Village Square Dr
Wakefield, RI 02879
Phone (401) 272-2020

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X ODTA00377 RI
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X MD05032 RI Primary

Addresses

NPPES NPI Registry

Primary practice location

150 E Manning St
Providence, RI 02906-5109

Mailing address

150 E Manning St
Providence, RI 02906-5109
Phone (401) 272-2020

Other identifiers 8

NPPES NPI Registry
IdentifierTypeStateIssuer
0012176OtherMANEIGHBORHOOD MA
603940OtherRITUFTS
0859OtherRINEIGHBORHOOD RI
189002658OtherRIMEDICARE PIN
M17477OtherMAMASS BLUE SHIELD
1760528962OtherRINPI OTHER
26587OtherRIRI BLUE SHIELD
9001520MedicaidRI

Other names 1

NPPES NPI Registry
  • THE RHODE ISLAND EYE INSTITUTE Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 31, 2012.

{
    "created_epoch": "1135209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343692800000",
    "number": "1366429102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 E MANNING ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029065109",
            "telephone_number": "401-272-2020",
            "fax_number": "401-421-5979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 E MANNING ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029065109",
            "telephone_number": "401-272-2020",
            "fax_number": "401-421-5979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPHTHALMOLOGY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-22",
        "last_updated": "2012-07-31",
        "status": "A",
        "authorized_official_last_name": "DUELL",
        "authorized_official_first_name": "GAIL",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "ACCOUNTS MANAGER",
        "authorized_official_telephone_number": "401-272-2010",
        "authorized_official_credential": "CPC, CEMC"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "RI",
            "license": "ODTA00377",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "RI",
            "license": "MD05032",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEIGHBORHOOD MA",
            "identifier": "0012176",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "603940",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEIGHBORHOOD RI",
            "identifier": "0859",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PIN",
            "identifier": "189002658",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASS BLUE SHIELD",
            "identifier": "M17477",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI OTHER",
            "identifier": "1760528962",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RI BLUE SHIELD",
            "identifier": "26587",
            "state": "RI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9001520",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THE RHODE ISLAND EYE INSTITUTE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Providence, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2012; 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.