Individual provider Active NPI

Vincenzo Gianfrancesco

  • Optometrist
  • East Providence, RI
National Provider Identifier
1447633060
Registry record updated Jul 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
ODTG00620 Issued in RI
Practice address
1970 Pawtucket Ave
East Providence, RI 02914-1718
Phone
(401) 438-1166
NPI assigned
Jul 1, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X ODTG00620 RI Primary

Addresses

Primary practice location

1970 Pawtucket Ave
East Providence, RI 02914-1718

Mailing address

1970 Pawtucket Ave
East Providence, RI 02914-1718

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
I20180724003711 RI Practitioner - Optometry 5799092458 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Modern Eyes LLCGroup PAC ID 9638425119, 2 clinicians

Practice addresses (Care Compare)

145 Newport Ave
Pawtucket, RI 02861-4107
Phone (401) 729-0200

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ODTG00620RIMDOptometrist
5112MAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Modern Eyes LLC Optometrist CurrentSince Jul 16, 2018 Accepting new patients

Locations

1970 Pawtucket Ave
East Providence, RI 02914
Phone (401) 438-1166

1970 Pawtucket Ave
Unit 2
East Providence, RI 02914
Phone (401) 438-1166

145 Newport Ave
Pawtucket, RI 02861
Phone (401) 524-4025

Organizations & group practices 1

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": "1435708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435708800000",
    "number": "1447633060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1970 PAWTUCKET AVE",
            "city": "EAST PROVIDENCE",
            "state": "RI",
            "postal_code": "029141718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1970 PAWTUCKET AVE",
            "city": "EAST PROVIDENCE",
            "state": "RI",
            "postal_code": "029141718",
            "telephone_number": "401-438-1166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIANFRANCESCO",
        "first_name": "VINCENZO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-01",
        "last_updated": "2015-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "RI",
            "license": "ODTG00620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Providence, RI

Sources for this page

Verify at the official NPI Registry.