Active NPI
David W Ferris, O.D.
- Optometrist
- Warwick, RI
National Provider Identifier
1518922889
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- ODTG00314
- Practice address
- 222 Jefferson Blvd
Warwick, RI 02888-3855 - Phone
- (401) 732-2350
- Fax
- (401) 738-2744
- NPI assigned
- Apr 19, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | ODTG00314 | RI | Primary |
Addresses
Primary practice location
222 Jefferson Blvd
Warwick, RI 02888-3855
Mailing address
222 Jefferson Blvd
Warwick, RI 02888-3855
Phone (401) 732-2350
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 795299 | Other | RI | TUFTS |
| 97774 | Other | RI | BLUE CROSS BLUE SHIELD |
| 544596 | Other | RI | AETNA |
| 003113 | Other | RI | BLUE CHIP |
| 1775280 | Other | RI | CIGNA |
| 2200166 | Other | RI | UNITED HEALTHCARE |
| 9009876 | Medicaid | RI |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ODTG00314 | RI | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1234828800000",
"number": "1518922889",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "222 JEFFERSON BLVD",
"city": "WARWICK",
"state": "RI",
"postal_code": "028883855",
"telephone_number": "401-732-2350",
"fax_number": "401-738-2744"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "222 JEFFERSON BLVD",
"city": "WARWICK",
"state": "RI",
"postal_code": "028883855",
"telephone_number": "401-732-2350",
"fax_number": "401-738-2744"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERRIS",
"first_name": "DAVID",
"middle_name": "W",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-19",
"last_updated": "2009-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "RI",
"license": "ODTG00314",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS",
"identifier": "795299",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "97774",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "544596",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CHIP",
"identifier": "003113",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "1775280",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "2200166",
"state": "RI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9009876",
"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 Feb 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.