Joseph V Girgenti OD Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

ODTA00432 Issued in RI

Legal business name

JOSEPH V GIRGENTI OD INC

Practice address

17 Village Plaza Way
Box 4
N Scituate, RI 02857-1849

Phone

(401) 934-2800

NPI assigned

Dec 26, 2006

Last updated

Jul 11, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Joseph Victor Girgenti, O.D.NPI 1184683815

Title

President

Phone

(401) 934-2800

Specialties & licenses 1

Addresses

Other identifiers 13

Other names 1

• NORTH SCITUATE FAMILY EYE CARE Other name

Medicare fee-for-service enrollment

Enrolled in RI

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Joseph Victor Girgenti, O.D.

  • Optometrist
  • N Scituate, RI
  • NPI 1184683815
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689033600000",
    "number": "1477618841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 VILLAGE PLAZA WAY",
            "city": "N SCITUATE",
            "state": "RI",
            "postal_code": "028571849",
            "telephone_number": "401-934-2800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 VILLAGE PLAZA WAY",
            "address_2": "BOX 4",
            "city": "N SCITUATE",
            "state": "RI",
            "postal_code": "028571849",
            "telephone_number": "401-934-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH V GIRGENTI OD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-26",
        "last_updated": "2023-07-11",
        "certification_date": "2023-07-11",
        "status": "A",
        "authorized_official_last_name": "GIRGENTI",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "VICTOR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "401-934-2800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "RI",
            "license": "ODTA00432",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA US HEALTHCARE",
            "identifier": "461497",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VISION SERVICE PLAN",
            "identifier": "025600778",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHIP",
            "identifier": "201880",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD HEALTH PLANS",
            "identifier": "2200088",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "2200088",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD RETIREE",
            "identifier": "410048380",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RI PLAN 65",
            "identifier": "78308",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PACE ORGANIZATION OF RI",
            "identifier": "007006348",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE OF N.E",
            "identifier": "2200088",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2874",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RI BLUE CROSS BLUE SHIELD",
            "identifier": "78308",
            "state": "RI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9007947",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RI FEDERAL BLUE CROSS",
            "identifier": "78308",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NORTH SCITUATE FAMILY EYE CARE",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "NORTH SCITUATE FAMILY EYE CARE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Susan E Ellingwood, MSW, LICSW
• Timothy Flynn
• Joseph Victor Girgenti, O.D.
• Denise Elizabeth Greber Draeger, D.C.
• Hilda Hannah Bloomberg,Licsw,Inc.
• Sarah Mailhot, MSW. LICSW
• Massage Matrix Ri
• Renee J McNeilly, LICSW
• North Scituate Fire Dept 1
• Norman David Peters, M.D.

• Optometrist in N Scituate, RI
• Providers in N Scituate, RI by specialty
• Optometrist in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2023; 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.

Verify at the official NPI Registry.