Organization Active NPI

I for an Eye, LLC

  • Optometrist
  • Providence, RI
National Provider Identifier
1376054445
Registry record updated Oct 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
ODTG00650 Issued in RI
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

Updated by the provider on Oct 20, 2021

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

Authorized official

Name
Cassandra OliveiraNPI 1538685938
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)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
U300416104OtherMEDICARE
1538685938MedicaidRI

Other names 2

  • DeCesare Eye Associates Doing business as
  • Envisions Eyecare Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.