Individual provider Active NPI

Pamela S Sheffield, OD

  • Optometrist
  • Smithfield, RI
National Provider Identifier
1659457919
Registry record updated Dec 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
ODTG00478 Issued in RI
Practice address
600 Putnam Pike
Suite 3
Smithfield, RI 02828
Phone
(401) 949-7300
Fax
(401) 949-5052
NPI assigned
Oct 30, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 11, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X ODTG00478 RI Primary

Addresses

Primary practice location

600 Putnam Pike
Suite 3
Smithfield, RI 02828

Mailing address

600 Putnam Pike
Suite 3
Smithfield, RI 02828
Phone (401) 949-7300

Other identifiers 2

IdentifierTypeStateIssuer
9007903MedicaidRI
0469790001OtherRINSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1162166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228953600000",
    "number": "1659457919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 PUTNAM PIKE",
            "address_2": "SUITE 3",
            "city": "SMITHFIELD",
            "state": "RI",
            "postal_code": "02828",
            "telephone_number": "401-949-7300",
            "fax_number": "401-949-5052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 PUTNAM PIKE",
            "address_2": "SUITE 3",
            "city": "SMITHFIELD",
            "state": "RI",
            "postal_code": "02828",
            "telephone_number": "401-949-7300",
            "fax_number": "401-949-5052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEFFIELD",
        "first_name": "PAMELA",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-30",
        "last_updated": "2008-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "RI",
            "license": "ODTG00478",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9007903",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NSC",
            "identifier": "0469790001",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Smithfield, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.