Kelly M Pereira, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

ODTG00643 Issued in RI

Practice address

450 Veterans Memorial Pkwy
East Providence, RI 02914-5300

Phone

(401) 431-1119

Fax

(401) 431-1125

NPI assigned

Jul 11, 2017

Last updated

Jan 17, 2019By the provider in NPPES

Sex

Female

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

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Garden City Eyecare IncGroup PAC ID 4486618311, 6 clinicians

Eye Consultants of Rhode Island LTDGroup PAC ID 0941560221, 2 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

93.65 of 100Reported as group

Quality

97.14

Improvement activities

40

Cost

82.65

Medicare enrollment (NPD)

Enrolled

State licenses

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 Consultants of Rhode Island LTD.

  • Ophthalmology Physician
  • East Providence, RI
  • NPI 1538673512
  Medicare reassignment Care Compare group NPD
• Garden City Eyecare, Inc

  • Optometrist
  • Cranston, RI
  • NPI 1295856540
  Medicare reassignment Care Compare group NPD
• 20/20 Vision Care, Inc.

  • Optometrist
  • Bristol, RI
  • NPI 1700991932
  Medicare reassignment NPD
• S Deborah Murphy MD LLC

  • Ophthalmology Physician
  • East Providence, RI
  • NPI 1700291374
  NPD

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

{
    "created_epoch": "1499731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547683200000",
    "number": "1679095608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 VETERANS MEMORIAL PKWY",
            "city": "EAST PROVIDENCE",
            "state": "RI",
            "postal_code": "029145300",
            "telephone_number": "401-431-1119",
            "fax_number": "401-943-1324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 VETERANS MEMORIAL PKWY",
            "city": "EAST PROVIDENCE",
            "state": "RI",
            "postal_code": "029145300",
            "telephone_number": "401-431-1119",
            "fax_number": "401-431-1125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREIRA",
        "first_name": "KELLY",
        "middle_name": "M",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-11",
        "last_updated": "2019-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "RI",
            "license": "ODTG00643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samuel Wallace Peloquin, LICSW
• Kimberly Pennine
• Jessica Pepitone, MD
• Coyna Peralta Pena, LCSW
• Holly Nicole Pereira, MD
• Luis Alberto Pereira Jr., PA-C
• Patricia Jillian Pereira
• McKenzie Grace Perkins
• Susan Perlini, RDH, PHDH
• Jessica Gomes Lopes Perry, MSW, LCSW

• Optometrist in East Providence, RI
• Providers in East 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 Jan 17, 2019; 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.