Active NPI
Pangborn Premier Eye Care, Inc.
- Optometrist
- Wakefield, RI
National Provider Identifier
1447130505
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- PANGBORN PREMIER EYE CARE, INC.
- Practice address
- 133 Main St
Wakefield, RI 02879-3511 - Phone
- (401) 782-8150
- Fax
- (401) 783-9710
- NPI assigned
- Sep 8, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Joshua A Pangborn, OD
- Title
- Optometrist
- Phone
- (401) 742-6400
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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary | ||
| Corneal and Contact Management Optometrist | 152WC0802X | |||
| Sports Vision Optometrist | 152WS0006X |
Addresses
Primary practice location
133 Main St
Wakefield, RI 02879-3511
Mailing address
133 Main St
Wakefield, RI 02879-3511
Phone (401) 782-8150
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in RI
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- South Kingstown, RI
- NPI 1063203529
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1757289600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757289600000",
"number": "1447130505",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "133 MAIN ST",
"city": "WAKEFIELD",
"state": "RI",
"postal_code": "028793511",
"telephone_number": "401-782-8150",
"fax_number": "401-783-9710"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "133 MAIN ST",
"city": "WAKEFIELD",
"state": "RI",
"postal_code": "028793511",
"telephone_number": "401-782-8150",
"fax_number": "401-783-9710"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PANGBORN PREMIER EYE CARE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2025-09-08",
"last_updated": "2025-09-08",
"certification_date": "2025-09-08",
"status": "A",
"authorized_official_last_name": "PANGBORN",
"authorized_official_first_name": "JOSHUA",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OPTOMETRIST",
"authorized_official_telephone_number": "401-742-6400",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
},
{
"code": "152WC0802X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Optometrist, Corneal and Contact Management",
"state": null,
"license": null,
"primary": false
},
{
"code": "152WS0006X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Optometrist, Sports Vision",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wakefield, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2025; 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.