Individual provider Active NPI

Matthew David Doyle, O.D.

  • Optometrist
  • Warwick, RI
National Provider Identifier
1538412044
Registry record updated Oct 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
00588 Issued in RI
Practice address
390 Toll Gate Rd Ste 107
Warwick, RI 02886-4326
Phone
(401) 732-2662
Fax
(401) 732-2662
NPI assigned
Oct 22, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management Optometrist 152WC0802X 00588 RI
Optometrist 152W00000X 00588 RI Primary

Addresses

Primary practice location

390 Toll Gate Rd Ste 107
Warwick, RI 02886-4326

Mailing address

390 Toll Gate Rd Ste 107
Warwick, RI 02886-4326
Phone (401) 732-2662

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130115000309 RI Practitioner - Optometry 5799938171 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ezra L Galler MD LTDGroup PAC ID 8921067349, 4 clinicians

Practice addresses (Care Compare)

100 Highland Ave
Suite 304
Providence, RI 02906-2753
Phone (401) 728-1400

390 Toll Gate Rd
Suite 107
Warwick, RI 02886-4326
Phone (401) 732-2662

390 Tollgate Rd
Suite 107
Warwick, RI 02886-4326

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery11

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ezra L. Galler, M.D., LTD. Optometrist CurrentSince Jul 1, 2022 Accepting new patients
Thomas R. Leddy, M.D.,LLC CurrentSince Oct 8, 2023 Accepting new patients
Aeg Rhode Island Professional, PC Optometrist PastSince Sep 5, 2024 Accepting new patients

Locations

100 Highland Ave
Ste 304
Providence, RI 02906
Phone (401) 331-2130

390 Toll Gate Rd
Ste 107
Warwick, RI 02886
Phone (401) 732-2662

Organizations & group practices 3

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": "1350864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696377600000",
    "number": "1538412044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "390 TOLL GATE RD STE 107",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028864326",
            "telephone_number": "401-732-2662",
            "fax_number": "401-732-2669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 TOLL GATE RD STE 107",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028864326",
            "telephone_number": "401-732-2662",
            "fax_number": "401-732-2662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOYLE",
        "first_name": "MATTHEW",
        "middle_name": "DAVID",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-10-22",
        "last_updated": "2023-10-04",
        "certification_date": "2023-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "RI",
            "license": "00588",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "RI",
            "license": "00588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warwick, RI

Sources for this page

Verify at the official NPI Registry.