Active NPI
Ophthalmology Inc
- Ophthalmology Physician
- Providence, RI
National Provider Identifier
1366429102
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- MD05032
- 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 DirectoryLocations
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | ODTA00377 | RI | |
| Ophthalmology Physician | 207W00000X | MD05032 | RI | Primary |
Addresses
NPPES NPI RegistryPrimary 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| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0012176 | Other | MA | NEIGHBORHOOD MA |
| 603940 | Other | RI | TUFTS |
| 0859 | Other | RI | NEIGHBORHOOD RI |
| 189002658 | Other | RI | MEDICARE PIN |
| M17477 | Other | MA | MASS BLUE SHIELD |
| 1760528962 | Other | RI | NPI OTHER |
| 26587 | Other | RI | RI BLUE SHIELD |
| 9001520 | Medicaid | RI |
Other names 1
NPPES NPI Registry- THE RHODE ISLAND EYE INSTITUTE
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.