Individual provider Active NPI

Eric J Hall, O.D.

  • Optometrist
  • Greenville, RI
National Provider Identifier
1396798971
Registry record updated May 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
ODTG00582 Issued in RI
Practice address
12 Smith Ave
Greenville, RI 02828-1720
Phone
(401) 949-1616
Fax
(401) 949-4251
NPI assigned
May 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X ODTG00582 RI Primary

Addresses

Primary practice location

12 Smith Ave
Greenville, RI 02828-1720

Mailing address

12 Smith Ave
Greenville, RI 02828-1720
Phone (401) 949-1616

Other identifiers 1

IdentifierTypeStateIssuer
7008360MedicaidRI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120411000094 RI Practitioner - Optometry 8729143128 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vision Associates IncGroup PAC ID 5294890695, 5 clinicians

Practice addresses (Care Compare)

148 Social St
Woonsocket, RI 02895-3133
Phone (401) 769-2755

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery17

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Vision Associates Inc Optometrist CurrentSince Mar 1, 2000 Accepting new patients
Vision Associates Optometrist Past Accepting new patients
Vision Associates Inc Optometrist PastSince Mar 1, 2000 Accepting new patients

Locations

5600 Post Rd
Unit 111
East Greenwich, RI 02818
Phone (401) 885-2166

148 Social St
Woonsocket, RI 02895
Phone (401) 769-2755

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714521600000",
    "number": "1396798971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 SMITH AVE",
            "city": "GREENVILLE",
            "state": "RI",
            "postal_code": "028281720",
            "telephone_number": "401-949-1616",
            "fax_number": "401-949-1616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 SMITH AVE",
            "city": "GREENVILLE",
            "state": "RI",
            "postal_code": "028281720",
            "telephone_number": "401-949-1616",
            "fax_number": "401-949-4251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "ERIC",
        "middle_name": "J",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2024-05-01",
        "certification_date": "2024-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "RI",
            "license": "ODTG00582",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7008360",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, RI

Sources for this page

Verify at the official NPI Registry.