Active NPI
Dominiqe Giselle Vienneau, OD
- Optometrist
- East Providence, RI
National Provider Identifier
1427385657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- ODTG00543
- Practice address
- 400 Warren Ave
East Providence, RI 02914-3807 - Phone
- (401) 438-4447
- Fax
- (401) 438-0160
- NPI assigned
- Nov 9, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | ODTG00543 | RI | Primary |
| Corneal and Contact Management Optometrist | 152WC0802X | ODTG00543 | RI | |
| Low Vision Rehabilitation Optometrist | 152WL0500X | ODTG00543 | RI | |
| Pediatric Optometrist | 152WP0200X | ODTG00543 | RI | |
| Sports Vision Optometrist | 152WS0006X | ODTG00543 | RI | |
| Vision Therapy Optometrist | 152WV0400X | ODTG00543 | RI | |
| Occupational Vision Optometrist | 152WX0102X | ODTG00543 | RI |
Addresses
Primary practice location
400 Warren Ave
East Providence, RI 02914-3807
Mailing address
400 Warren Ave
East Providence, RI 02914-3807
Phone (401) 438-4447
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ODTG00543 | RI | MD | Corneal and Contact Management Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1257724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1257724800000",
"number": "1427385657",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 WARREN AVE",
"city": "EAST PROVIDENCE",
"state": "RI",
"postal_code": "029143807",
"telephone_number": "401-438-4447",
"fax_number": "401-438-0160"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 WARREN AVE",
"city": "EAST PROVIDENCE",
"state": "RI",
"postal_code": "029143807",
"telephone_number": "401-438-4447",
"fax_number": "401-438-0160"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VIENNEAU",
"first_name": "DOMINIQE",
"middle_name": "GISELLE",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-11-09",
"last_updated": "2009-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "RI",
"license": "ODTG00543",
"primary": true
},
{
"code": "152WC0802X",
"taxonomy_group": "",
"desc": "Optometrist, Corneal and Contact Management",
"state": "RI",
"license": "ODTG00543",
"primary": false
},
{
"code": "152WL0500X",
"taxonomy_group": "",
"desc": "Optometrist, Low Vision Rehabilitation",
"state": "RI",
"license": "ODTG00543",
"primary": false
},
{
"code": "152WP0200X",
"taxonomy_group": "",
"desc": "Optometrist, Pediatrics",
"state": "RI",
"license": "ODTG00543",
"primary": false
},
{
"code": "152WS0006X",
"taxonomy_group": "",
"desc": "Optometrist, Sports Vision",
"state": "RI",
"license": "ODTG00543",
"primary": false
},
{
"code": "152WV0400X",
"taxonomy_group": "",
"desc": "Optometrist, Vision Therapy",
"state": "RI",
"license": "ODTG00543",
"primary": false
},
{
"code": "152WX0102X",
"taxonomy_group": "",
"desc": "Optometrist, Occupational Vision",
"state": "RI",
"license": "ODTG00543",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in East Providence, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.