Cranston Eye Associates Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

License

ODTA 00356 Issued in RI

Legal business name

CRANSTON EYE ASSOCIATES INC.

Practice address

1013 Reservoir Ave
Cranston, RI 02910-5134

Phone

(401) 942-4087

Fax

(401) 942-3342

NPI assigned

Dec 18, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Scott Surdut

Title

OD

Phone

(401) 942-4087

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Aaron Barak Favre, OD

  • Optometrist
  • Cranston, RI
  • NPI 1730813114
  NPD (past)

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287446400000",
    "number": "1487717708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1013 RESERVOIR AVE",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029105134",
            "telephone_number": "401-942-4087",
            "fax_number": "401-942-3342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1013 RESERVOIR AVE",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029105134",
            "telephone_number": "401-942-4087",
            "fax_number": "401-942-3342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRANSTON EYE ASSOCIATES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-18",
        "last_updated": "2010-10-19",
        "status": "A",
        "authorized_official_last_name": "SURDUT",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "OD",
        "authorized_official_telephone_number": "14019424087",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "RI",
            "license": "ODTA 00356",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE P-TAN",
            "identifier": "092470",
            "state": "RI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7002604",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cranston Arc
• Cranston Asthetic Dentistry
• Cranston Cosmetic Dentistry, Inc.
• Cranston Dental Associates, LLC
• Cranston East Medical Clinic
• Cranston Family and Cosmetic Dentistry
• Cranston Pediatric Dentistry PC
• Cranston Pediatrics LLC Dba Park Pediatrics Inc
• Cranston Public Schools
• Cranston Public Schools

• Optometrist in Cranston, RI
• Providers in Cranston, RI by specialty
• Optometrist in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.