Active NPI
I for an Eye, LLC
- Optometrist
- Providence, RI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- ODTG00650
- Legal business name
- I FOR AN EYE, LLC
- Practice address
- 354 Broadway
Providence, RI 02909-1434 - Phone
- (401) 331-4475
- Fax
- (401) 273-5742
- NPI assigned
- Oct 17, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Cassandra Oliveira
- Title
- Optometrist
- Phone
- (508) 837-3708
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | ODTG00650 | RI | Primary |
Addresses
Primary practice location
354 Broadway
Providence, RI 02909-1434
Mailing address
363 Hawkins St
Providence, RI 02904-2306
Phone (508) 837-3708
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| U300416104 | Other | MEDICARE | |
| 1538685938 | Medicaid | RI |
Other names 2
- DeCesare Eye Associates
- Envisions Eyecare
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in RI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180219000883 | RI | Part B Supplier - Clinic/Group Practice | 5991066714 |
Receives reassigned benefits from 3 practitioners Practice locations: Providence, RI; West Warwick, RI |
National Provider Directory
National Provider DirectoryLocations
1920 Norwich New London Tpke
Unit 8
Uncasville, CT 06382
Phone (860) 848-3388
354 Broadway
Providence, RI 02909
Phone (401) 331-4475
328 Cowesett Ave
Ste 2
West Warwick, RI 02893
Phone (401) 821-4300
Practitioners & affiliated clinicians
Practitioners 9
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Uncasville, CT
- NPI 1386534014
-
- Optometrist
- Uncasville, CT
- NPI 1255089900
-
- Optometrist
- Centerbrook, CT
- NPI 1093243321
-
- Optometrist
- Hauppauge, NY
- NPI 1235659988
-
- Optometrist
- Newington, CT
- NPI 1003830308
-
- Optometrist
- Uncasville, CT
- NPI 1093739310
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1508198400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1634688000000",
"number": "1376054445",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "363 HAWKINS ST",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029042306",
"telephone_number": "508-837-3708"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "354 BROADWAY",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029091434",
"telephone_number": "401-331-4475",
"fax_number": "401-273-5742"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "I FOR AN EYE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-10-17",
"last_updated": "2021-10-20",
"certification_date": "2021-10-20",
"status": "A",
"authorized_official_last_name": "OLIVEIRA",
"authorized_official_first_name": "CASSANDRA",
"authorized_official_title_or_position": "OPTOMETRIST",
"authorized_official_telephone_number": "508-837-3708"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "RI",
"license": "ODTG00650",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "U300416104",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1538685938",
"state": "RI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "DeCesare Eye Associates",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "DeCesare Eye Associates",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Envisions Eyecare",
"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 Oct 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.