Organization Active NPI

Eye Stop, Inc.

Doing business as Pugliese Family Eye Care

  • Optometrist
  • Smithfield, RI
National Provider Identifier
1679875900
Registry record updated Jul 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
ODTG00474 Issued in RI
Legal business name
EYE STOP, INC.
Doing business as
Pugliese Family Eye Care
Practice address
41 Sanderson Rd
203
Smithfield, RI 02917-2602
Phone
(401) 349-4791
Fax
(401) 349-4795
NPI assigned
Nov 18, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2011

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

Authorized official

Name
Dr. John Robert Pugliese, ODNPI 1588789804
Title
President
Phone
(401) 349-4791

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X ODTG00474 RI Primary

Addresses

Primary practice location

41 Sanderson Rd
203
Smithfield, RI 02917-2602

Mailing address

41 Sanderson Rd
203
Smithfield, RI 02917-2602
Phone (401) 349-4791

Other names 1

  • Pugliese Family Eye Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110126000792 RI Part B Supplier - Clinic/Group Practice 2961681077 Receives reassigned benefits from 1 practitioner
Practice locations: Smithfield, RI

National Provider Directory

National Provider Directory

Locations

41 Sanderson Rd
Ste 203
Smithfield, RI 02917
Phone (401) 349-4791

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1290038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311206400000",
    "number": "1679875900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 SANDERSON RD",
            "address_2": "203",
            "city": "SMITHFIELD",
            "state": "RI",
            "postal_code": "029172602",
            "telephone_number": "401-349-4791",
            "fax_number": "401-349-4795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 SANDERSON RD",
            "address_2": "203",
            "city": "SMITHFIELD",
            "state": "RI",
            "postal_code": "029172602",
            "telephone_number": "401-349-4791",
            "fax_number": "401-349-4795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE STOP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-18",
        "last_updated": "2011-07-21",
        "status": "A",
        "authorized_official_last_name": "PUGLIESE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "401-349-4791",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "RI",
            "license": "ODTG00474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pugliese Family Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.