NPIMap

Organization Active NPI

Sampalis Eyecare PC

  • Optometrist
  • Warwick, RI
National Provider Identifier
1497016661
Registry record updated May 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
MA4629 Issued in MA
Legal business name
SAMPALIS EYECARE PC
Practice address
650 Bald Hill Rd
Warwick, RI 02886-1863
Phone
(401) 822-2050
Fax
(401) 822-2050
NPI assigned
Jun 5, 2012
Organization subpart
Yes
Parent organization
DR MARIA SAMPALISAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 2, 2013

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

Authorized official

Name
Dr. Maria P Sampalis, O.D.NPI 1740470566
Title
Dr
Phone
(401) 241-9188

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X MA4629 MA Primary

Addresses

Primary practice location

650 Bald Hill Rd
Warwick, RI 02886-1863

Mailing address

24 Scaralia Rd
Cranston, RI 02921
Phone (401) 241-9188

Other identifiers 2

IdentifierTypeStateIssuer
110079003AMedicaidMA
MS90656MedicaidRI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI, MA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20130221000384 RI Part B Supplier - Clinic/Group Practice 0345495487 Receives reassigned benefits from 1 practitioner
Practice locations: Warwick, RI; Fall River, MA; Cranston, RI
O20160216000422 MA Part B Supplier - Clinic/Group Practice 0345495487 Receives reassigned benefits from 1 practitioner
Practice locations: Brockton, MA; Fall River, MA; Hanover, MA; Hyannis, MA

National Provider Directory

National Provider Directory
Part of
Sampalis Eyecare PC

Locations

77 Rockingham Park Blvd
Salem, NH 03079
Phone (603) 894-7783

800 Oaklawn Ave
Ste A4
Cranston, RI 02920
Phone (401) 822-2050

1013 Reservoir Ave
Cranston, RI 02910
Phone (401) 942-4087

4000 Chapel View Blvd
Ste 135
Cranston, RI 02920
Phone (401) 822-2050

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1338854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367452800000",
    "number": "1497016661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 SCARALIA RD",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "02921",
            "telephone_number": "401-241-9188",
            "fax_number": "401-828-4240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 BALD HILL RD",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028861863",
            "telephone_number": "401-822-2050",
            "fax_number": "401-822-2050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMPALIS EYECARE PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DR MARIA SAMPALIS",
        "enumeration_date": "2012-06-05",
        "last_updated": "2013-05-02",
        "status": "A",
        "authorized_official_last_name": "SAMPALIS",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "DR",
        "authorized_official_telephone_number": "401-241-9188",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MA",
            "license": "MA4629",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110079003A",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MS90656",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warwick, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2013; 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.