Individual provider Active NPI

David J Santos, O.D.

  • Occupational Vision Optometrist
  • East Providence, RI
National Provider Identifier
1467514232
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Vision OptometristTaxonomy code 152WX0102X
License
442-TA Issued in RI
Practice address
400 Warren Ave
East Providence, RI 02914-3807
Phone
(401) 438-4447
Fax
(401) 438-0160
NPI assigned
Dec 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 442-TA RI
Corneal and Contact Management Optometrist 152WC0802X 442-TA RI
Low Vision Rehabilitation Optometrist 152WL0500X 442-TA RI
Pediatric Optometrist 152WP0200X 442-TA RI
Sports Vision Optometrist 152WS0006X 442-TA RI
Vision Therapy Optometrist 152WV0400X 442-TA RI
Occupational Vision Optometrist 152WX0102X 442-TA RI Primary

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

Other identifiers 3

IdentifierTypeStateIssuer
004565OtherBLUE CHIP
7003137MedicaidRI
26474-5OtherBLUE CROSS BLUE SHIELD

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
I20090327000043 RI Practitioner - Optometry 0648337196 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brown Vision Care, IncGroup PAC ID 3072587849, 5 clinicians

Practice addresses (Care Compare)

400 Warren Ave
East Providence, RI 02914-3807

400 Warren Ave
East Providence, RI 02914-3826
Phone (401) 438-4447

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery17

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
442-TARIMDPediatric Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Brown Vision Care, Inc Optometrist CurrentSince Jan 1, 2003 Accepting new patients

Locations

400 Warren Ave
East Providence, RI 02914
Phone (401) 431-1800

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1467514232",
    "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": "SANTOS",
        "first_name": "DAVID",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-15",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "RI",
            "license": "442-TA",
            "primary": false
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "RI",
            "license": "442-TA",
            "primary": false
        },
        {
            "code": "152WL0500X",
            "taxonomy_group": "",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": "RI",
            "license": "442-TA",
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "RI",
            "license": "442-TA",
            "primary": false
        },
        {
            "code": "152WS0006X",
            "taxonomy_group": "",
            "desc": "Optometrist, Sports Vision",
            "state": "RI",
            "license": "442-TA",
            "primary": false
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "RI",
            "license": "442-TA",
            "primary": false
        },
        {
            "code": "152WX0102X",
            "taxonomy_group": "",
            "desc": "Optometrist, Occupational Vision",
            "state": "RI",
            "license": "442-TA",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHIP",
            "identifier": "004565",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7003137",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "26474-5",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Providence, RI

Sources for this page

Verify at the official NPI Registry.