John Robert Pugliese, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

ODTG00474 Issued in RI

Practice address

622 George Washington Highway
Lincoln Mall
Lincoln, RI 02865

Phone

(401) 333-0550

Fax

(401) 312-0083

NPI assigned

Mar 20, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Optometry

Education

New England College of Optometry, 1978

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Eye Stop, Inc.

  dba Pugliese Family Eye Care

  • Optometrist
  • Smithfield, RI
  • NPI 1679875900
  Medicare reassignment NPD Authorized official
• Croce and Pugliese Vision Care

  • Optometrist
  • Lincoln, RI
  • NPI 1376579821
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1588789804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "622 GEORGE WASHINGTON HIGHWAY",
            "address_2": "LINCOLN MALL",
            "city": "LINCOLN",
            "state": "RI",
            "postal_code": "02865",
            "telephone_number": "401-333-0550",
            "fax_number": "401-312-0083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "622 GEORGE WASHINGTON HIGHWAY",
            "address_2": "LINCOLN MALL",
            "city": "LINCOLN",
            "state": "RI",
            "postal_code": "02865",
            "telephone_number": "401-333-0550",
            "fax_number": "401-312-0083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUGLIESE",
        "first_name": "JOHN",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "RI",
            "license": "ODTG00474",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9009754",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angie C Polion, RDH
• Abigail Potter, MASTERS
• Mark H Preece, D.D.S.
• Maria Prescod
• Psychiatry Services of New England Inc
• Amanda Quinn
• Saira I Qureshi, M.A.
• Richard A Rabito Jr., MSPT
• Michael Alfred Raciti, PHD
• Riley Edward Raimond, LICSW

• Optometrist in Lincoln, RI
• Providers in Lincoln, RI by specialty
• Optometrist in Rhode Island

• 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.
• 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.

Verify at the official NPI Registry.