Active NPI
Theresa Marie Tretter, MD
- Ophthalmology Physician
- Warwick, RI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- MD16398
- Practice address
- 566 Toll Gate Rd
Warwick, RI 02886 - Phone
- (401) 738-4800
- Fax
- (401) 738-8153
- NPI assigned
- Jan 16, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 197268 | NY | |
| Ophthalmology Physician | 207W00000X | MD16398 | RI | Primary |
Addresses
Primary practice location
566 Toll Gate Rd
Warwick, RI 02886
Mailing address
566 Toll Gate Rd
Warwick, RI 02886-2799
Phone (401) 738-4800
Other practice location 1
615 Greenwich Ave Ste 10
Warwick, RI 02886-1882
Phone (401) 244-5186
Other practice location 2
36 7th Ave
Ste 515
New York, NY 10011
Phone (212) 284-9707
Other identifiers 14
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0498535 | Other | GHI | |
| 1926266 | Other | UNITED | |
| 11006585 | Other | ACS MULTIPLAN | |
| P1497267 | Other | NY | OXFORD |
| 01860122 | Medicaid | NY | |
| 7860722 | Other | CIGNA | |
| 197268A40 | Other | HEALTHFIRST | |
| 32259P | Other | HIP | |
| 421B01 | Other | NY | BCBS |
| 4C3021 | Other | HEALTHNET | |
| 0100703 | Other | AMERICHOICE | |
| 396067 | Other | CONNECTICARE | |
| 5490713 | Other | AETNA | |
| TT7268 | Other | ATLANTIS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- New York Medical College, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
310 E 14TH St
Opthalmology Department of Mount Sinai
New York, NY 10003-4201
Phone (212) 241-0939
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 197268 | NY | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Icahn School of Medicine at Mount Sinai | Ophthalmology | Current | Accepting new patients |
| Icahn School of Medicine at Mount Sinai | Ophthalmology | Current | Accepting new patients |
| Solo Optometry PC | Past | Accepting new patients | |
| Icahn School of Medicine at Mount Sinai | Past | Accepting new patients | |
| Daniel E. Goldberg, MD, PC | Ophthalmology | Past | Accepting new patients |
Locations
218 2nd Ave
New York, NY 10003
Phone (212) 979-4000
310 E 14th St
New York, NY 10003
Phone (212) 979-4000
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Organizations & group practices 5
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.
-
dba Ophthalmology Department of Mount Sinai
- Ophthalmology Physician
- New York, NY
- NPI 1437421252
-
dba New York Eye & Ear Optical Shop
- Eyewear Supplier
- New York, NY
- NPI 1760227466
Ophthalmology
-
- Ophthalmology Physician
- New York, NY
- NPI 1205927027
-
dba OB/GYN Department of Mount Sinai
- Obstetrics & Gynecology Physician
- New York, NY
- NPI 1124392212
-
- Vision Therapy Optometrist
- New York, NY
- NPI 1063651206
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Special Hospital
- New York City, NY
- NPI 1245251222
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534809600000",
"number": "1528110244",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "566 TOLL GATE RD",
"city": "WARWICK",
"state": "RI",
"postal_code": "028862799",
"telephone_number": "401-738-4800",
"fax_number": "401-738-8153"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "566 TOLL GATE RD",
"city": "WARWICK",
"state": "RI",
"postal_code": "02886",
"telephone_number": "401-738-4800",
"fax_number": "401-738-8153"
}
],
"practiceLocations": [
{
"address_1": "615 Greenwich Ave Ste 10",
"address_purpose": "LOCATION",
"city": "Warwick",
"state": "RI",
"postal_code": "028861882",
"country_code": "US",
"telephone_number": "401-244-5186",
"fax_number": "401-396-2393",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "36 7th Ave",
"address_2": "Ste 515",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "10011",
"country_code": "US",
"telephone_number": "212-284-9707",
"fax_number": "212-284-0708",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TRETTER",
"first_name": "THERESA",
"middle_name": "MARIE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-16",
"last_updated": "2018-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "NY",
"license": "197268",
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "RI",
"license": "MD16398",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "0498535",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED",
"identifier": "1926266",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ACS MULTIPLAN",
"identifier": "11006585",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P1497267",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01860122",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "7860722",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHFIRST",
"identifier": "197268A40",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIP",
"identifier": "32259P",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "421B01",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET",
"identifier": "4C3021",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICHOICE",
"identifier": "0100703",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CONNECTICARE",
"identifier": "396067",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5490713",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ATLANTIS",
"identifier": "TT7268",
"state": null
}
],
"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 Aug 21, 2018; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.