Providence Eye Associates, Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

PROVIDENCE EYE ASSOCIATES, INC.

Practice address

50 Maude St
Providence, RI 02908-4325

Phone

(401) 351-5664

Fax

(401) 456-5726

NPI assigned

Dec 7, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Thomas Paul Cesaro, O.D.NPI 1356392484

Title

Vice President

Phone

(401) 351-5664

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in RI2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Thomas Paul Cesaro, O.D.

  • Optometrist
  • Providence, RI
  • NPI 1356392484
  Medicare reassignment Care Compare group NPD Authorized official
• Charles Carl Calenda, M.D.

  • Ophthalmology Physician
  • Warwick, RI
  • NPI 1275557720
  Medicare reassignment Care Compare group NPD
• Austin Michael Levin, OD

  • Optometrist
  • Providence, RI
  • NPI 1255182911
  Medicare reassignment Care Compare group NPD
• Greg S. Levin, O.D.

  • Optometrist
  • Warwick, RI
  • NPI 1407929169
  Medicare reassignment NPD

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

{
    "created_epoch": "1165449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278374400000",
    "number": "1619036589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 MAUDE ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029084325",
            "telephone_number": "401-351-5664",
            "fax_number": "401-456-5726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 MAUDE ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029084325",
            "telephone_number": "401-351-5664",
            "fax_number": "401-456-5726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVIDENCE EYE ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-07",
        "last_updated": "2010-07-06",
        "status": "A",
        "authorized_official_last_name": "CESARO",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "401-351-5664",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9007882",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Providence Community Action
• Providence Community Acupuncture, LLC
• Providence Dental Group, LLC
• Providence Dental PC
• Providence Dental Sleep Center LLC
• Providence Integrative Wellness
• Providence Interventional Associates II LLC
• Providence Interventional Associates II LLC (Providence Access Care)
• Providence Medical Healthcare Center (Medicus)
• Providence Medical Supplies

• Optometrist in Providence, RI
• Providers in Providence, 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 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.