Active NPI
Newport Optical Inc
- Optician
- Central Falls, RI
National Provider Identifier
1477767630
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- RI 93
- Legal business name
- NEWPORT OPTICAL INC
- Practice address
- 1002 Broad St
Suite 7
Central Falls, RI 02863-1500 - Phone
- (401) 723-0083
- Fax
- (401) 722-4950
- NPI assigned
- May 9, 2007
- 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. Safa F Wagdi, MD
- Title
- President
- Phone
- (401) 723-0083
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | RI 93 | RI | Primary |
Addresses
Primary practice location
1002 Broad St
Suite 7
Central Falls, RI 02863-1500
Mailing address
1002 Broad St
Suite 7
Central Falls, RI 02863-1500
Phone (401) 723-0083
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 295628 | Other | RI | ID BLUE CROSS&BLUE SHIELD |
| NO 00725 | Medicaid | RI | |
| ZBH770 | Other | MA | BLUE CROSS&BLUE SHIELD |
| 409033 | Other | RI | ID BLUE CHIP OF RI |
National Provider Directory
National Provider DirectoryLocations
1002 Broad St
Ste 5
Central Falls, RI 02863
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178668800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1477767630",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1002 BROAD ST",
"address_2": "SUITE 7",
"city": "CENTRAL FALLS",
"state": "RI",
"postal_code": "028631500",
"telephone_number": "401-723-0083",
"fax_number": "401-722-4950"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1002 BROAD ST",
"address_2": "SUITE 7",
"city": "CENTRAL FALLS",
"state": "RI",
"postal_code": "028631500",
"telephone_number": "401-723-0083",
"fax_number": "401-722-4950"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEWPORT OPTICAL INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-09",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "WAGDI",
"authorized_official_first_name": "SAFA",
"authorized_official_middle_name": "F",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "401-723-0083",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Technician/Technologist, Optician",
"state": "RI",
"license": "RI 93",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ID BLUE CROSS&BLUE SHIELD",
"identifier": "295628",
"state": "RI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "NO 00725",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS&BLUE SHIELD",
"identifier": "ZBH770",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ID BLUE CHIP OF RI",
"identifier": "409033",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Central Falls, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.