Individual provider Active NPI

Donald Vincent Fargnoli, M.D.

  • Ophthalmology Physician
  • North Providence, RI
National Provider Identifier
1508924580
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
5736 Issued in RI
Practice address
1358 Smith St
North Providence, RI 02911-3304
Phone
(401) 353-2525
Fax
(401) 353-6792
NPI assigned
Dec 4, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 5736 RI Primary

Addresses

Primary practice location

1358 Smith St
North Providence, RI 02911-3304

Mailing address

1358 Smith St
North Providence, RI 02911-3304
Phone (401) 353-2525

Other identifiers 1

IdentifierTypeStateIssuer
9000077MedicaidRI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
5736RIMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Clarity Eye Care, LTD. PastSince Aug 1, 2019 Accepting new patients

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": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508924580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1358 SMITH ST",
            "city": "NORTH PROVIDENCE",
            "state": "RI",
            "postal_code": "029113304",
            "telephone_number": "401-353-2525",
            "fax_number": "401-353-6792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1358 SMITH ST",
            "city": "NORTH PROVIDENCE",
            "state": "RI",
            "postal_code": "029113304",
            "telephone_number": "401-353-2525",
            "fax_number": "401-353-6792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARGNOLI",
        "first_name": "DONALD",
        "middle_name": "VINCENT",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "RI",
            "license": "5736",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000077",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Providence, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.