Organization Active NPI

Ocean State Eye Care

  • Optometrist
  • Warwick, RI
National Provider Identifier
1396711347
Registry record updated Jun 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
OCEAN STATE EYE CARE
Practice address
1050 Centerville Rd
Warwick, RI 02886-4209
Phone
(401) 828-3200
NPI assigned
Feb 28, 2006
Last updated
Jun 23, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2008

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

Authorized official

Name
David Mills, ODNPI 1891796819
Title
Owner
Phone
(401) 828-3200

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
Optometrist 152W00000X Primary

Addresses

Primary practice location

1050 Centerville Rd
Warwick, RI 02886-4209

Mailing address

1050 Centerville Rd
Warwick, RI 02886-4209
Phone (401) 828-3200

Other identifiers 1

IdentifierTypeStateIssuer
OS6803MedicaidRI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060126000492 RI Part B Supplier - Clinic/Group Practice 9032123211 Receives reassigned benefits from 3 practitioners
Practice locations: Warwick, RI

National Provider Directory

National Provider Directory

Locations

1050 Centerville Rd
Warwick, RI 02886
Phone (401) 821-6238

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1141084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214179200000",
    "number": "1396711347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 CENTERVILLE RD",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028864209",
            "telephone_number": "401-828-3200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 CENTERVILLE RD",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028864209",
            "telephone_number": "401-828-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCEAN STATE EYE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-28",
        "last_updated": "2008-06-23",
        "status": "A",
        "authorized_official_last_name": "MILLS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "401-828-3200",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "OS6803",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warwick, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2008; 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.