Christian Humulock, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

ODTG00745 Issued in RI

Practice address

74 Frenchtown Rd
North Kingstown, RI 02852-1758

Phone

(401) 262-0042

NPI assigned

Jun 8, 2023

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

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, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rhode Eyeland LLCGroup PAC ID 1951625375, 2 clinicians

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 and National Provider Directory roles.

• Rhode Eyeland LLC

  • Optometrist
  • North Kingstown, RI
  • NPI 1518367937
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1686182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727827200000",
    "number": "1659065845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74 FRENCHTOWN RD",
            "city": "NORTH KINGSTOWN",
            "state": "RI",
            "postal_code": "028521758",
            "telephone_number": "401-262-0042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74 FRENCHTOWN RD",
            "city": "NORTH KINGSTOWN",
            "state": "RI",
            "postal_code": "028521758",
            "telephone_number": "401-262-0042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUMULOCK",
        "first_name": "CHRISTIAN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-08",
        "last_updated": "2024-10-02",
        "certification_date": "2024-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "RI",
            "license": "ODTG00745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James R Hosmer, DMD
• Patricia Lee Hough, RN
• Cynthia Houston, M.ED., BCBA
• Daniel Scott Howard, DA
• Gabriele G Hughes, APRN, PCS
• Patricia J Hussey, LMHC
• Jacqueline Faith Ingham
• Ink Well Neuropsychology, LLC
• J. D. Gloor, M. D., Inc.
• Benjamin Ryan Jack, BCBA

• Optometrist in North Kingstown, RI
• Providers in North Kingstown, RI by specialty
• Optometrist in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2024; 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.