Active NPI
Robert Gilbert Vaughn Jr., O.D.
- Optometrist
- Warren, RI
National Provider Identifier
1518994342
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 497
- Practice address
- 639 Metacom Ave
Warren, RI 02885-2348 - Phone
- (401) 245-3937
- NPI assigned
- Jun 27, 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 | 497 | RI | Primary |
Addresses
Primary practice location
639 Metacom Ave
Warren, RI 02885-2348
Mailing address
4 Shady Hill Dr
West Warwick, RI 02893-2337
Phone (401) 212-7708
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 497 | RI | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ezra L. Galler, M.D., LTD. | Optometrist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Optometrist
- Marlboro, MA
- NPI 1760663298
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1518994342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 SHADY HILL DR",
"city": "WEST WARWICK",
"state": "RI",
"postal_code": "028932337",
"telephone_number": "401-212-7708"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "639 METACOM AVE",
"city": "WARREN",
"state": "RI",
"postal_code": "028852348",
"telephone_number": "401-245-3937"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAUGHN",
"first_name": "ROBERT",
"middle_name": "GILBERT",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "RI",
"license": "497",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Warren, RI
- Univerity Urological Associates, Inc.
- Bhumi Upadhyay, PA-C
- Van Amberg Family Chiropractic, LLC
- David Jehring Vanamberg, DC
- Jonathan Bruce Vane, D.M.D.
- Kourtney Wallick, PT, DPT
- Warren Dental Associates Inc
- Warren Family Practice Associates Inc
- Warren Family Practice Associates, Inc.
- Warren Operations Ri LLC
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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.