Active NPI
Lucas James Medeiros, OD
- Optometrist
- Middletown, RI
National Provider Identifier
1649967498
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- ODTG00741
- Practice address
- 939 West Main Road
Middletown, RI 02842 - Phone
- (401) 847-1383
- NPI assigned
- Apr 21, 2023
- 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 | ODTG00741 | RI | Primary |
Addresses
Primary practice location
939 West Main Road
Middletown, RI 02842
Mailing address
110 Camara Drive
Portsmouth, RI 02871
Phone (401) 256-1100
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Southern College of Optometry, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
939 W Main Rd
Middletown, RI 02842-6390
Phone (401) 847-1383
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 48 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Charles M Collins MD LTD | Optometrist | Current | Accepting new patients |
Locations
939 W Main Rd
Middletown, RI 02842
Phone (401) 846-6400
Organizations & group practices 1
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": "1682035200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686787200000",
"number": "1649967498",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 CAMARA DRIVE",
"city": "PORTSMOUTH",
"state": "RI",
"postal_code": "02871",
"telephone_number": "401-256-1100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "939 WEST MAIN ROAD",
"city": "MIDDLETOWN",
"state": "RI",
"postal_code": "02842",
"telephone_number": "401-847-1383"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEDEIROS",
"first_name": "LUCAS",
"middle_name": "JAMES",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-04-21",
"last_updated": "2023-06-15",
"certification_date": "2023-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "RI",
"license": "ODTG00741",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Middletown, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2023; 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.