Individual provider Active NPI

Kriti Bhagat, OD

  • Optometrist
  • Providence, RI
National Provider Identifier
1427464510
Registry record updated Aug 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG002945 Issued in PA
Practice address
245 Waterman St Ste 309
Providence, RI 02906-5215
Phone
(401) 227-2188
Fax
(401) 227-2183
NPI assigned
Jul 9, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X ODTG00656 RI
Optometrist 152W00000X OEG002945 PA Primary

Addresses

Primary practice location

245 Waterman St Ste 309
Providence, RI 02906-5215

Mailing address

245 Waterman St Ste 309
Providence, RI 02906-5215
Phone (401) 227-2188

Other practice location 1

1200 W Godfrey Ave
Philadelphia, PA 19141-3323
Phone (215) 276-6000

Other practice location 2

100 Highland Ave Ste 304
Providence, RI 02906-2753
Phone (401) 728-1400

Other identifiers 1

IdentifierTypeStateIssuer
357858OtherPAMEDICARE PTAN

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
I20190618000223 RI Practitioner - Optometry 3375760341 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eyediology Vision LLCGroup PAC ID 4688059413, 2 clinicians
Specs Eyecare IncGroup PAC ID 9931273398, 3 clinicians

Practice addresses (Care Compare)

245 Waterman St
Suite 309
Providence, RI 02906-5215
Phone (401) 227-2188

58 E Main Rd
Middletown, RI 02842-4912
Phone (401) 846-1620

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OEG002945PAMDOptometrist
ODTG00656RIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Specs Eyecare Inc Optometrist CurrentSince Dec 22, 2021 Accepting new patients
Ezra L. Galler, M.D., LTD. Optometrist CurrentSince May 1, 2019 Accepting new patients
Eyediology Vision, LLC Optometrist CurrentSince Aug 9, 2022 Accepting new patients

Locations

58 E Main Rd
Middletown, RI 02842
Phone (401) 608-3322

70 Corporate Pl
Middletown, RI 02842
Phone (401) 846-1620

245 Waterman St
Ste 309
Providence, RI 02906
Phone (401) 227-2188

100 Highland Ave
Ste 304
Providence, RI 02906
Phone (401) 331-2130

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1404864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660003200000",
    "number": "1427464510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 WATERMAN ST STE 309",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029065215",
            "telephone_number": "401-227-2188",
            "fax_number": "401-227-2183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 WATERMAN ST STE 309",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029065215",
            "telephone_number": "401-227-2188",
            "fax_number": "401-227-2183"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 W Godfrey Ave",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191413323",
            "country_code": "US",
            "telephone_number": "215-276-6000",
            "fax_number": "215-276-1329",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Highland Ave Ste 304",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029062753",
            "country_code": "US",
            "telephone_number": "401-728-1400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BHAGAT",
        "first_name": "KRITI",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-09",
        "last_updated": "2022-08-09",
        "certification_date": "2022-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "RI",
            "license": "ODTG00656",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG002945",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "357858",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Providence, RI

Sources for this page

Verify at the official NPI Registry.