In-Sight
Organization Active NPI Optometrist · Warwick, RI
NPI 1720130545 · NPPES record last updated Jul 30, 2013
Key facts
- NPI
- 1720130545
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- Legal business name
- IN-SIGHT
- Practice address
- 43 Jefferson Blvd
Warwick, RI 02888-1078 - Phone
- (401) 941-3322
- NPI assigned
- Jan 18, 2007
- Organization subpart
- No
Authorized official
- Name
- Mr. Christopher Butler
- Title
- Exec Director
- Phone
- (401) 941-3322
Practitioners 2
-
Helene Marie Bradley, O.D.
-
Greg Ross Waldorf, O.D
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in RI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20071001000797 | RI | Part B Supplier - Clinic/Group Practice | 2062507320 |
Receives reassigned benefits from 1 practitioner Practice locations: Warwick, RI |
National Provider Directory
Locations
43 Jefferson Blvd
Ste 1
Warwick, RI 02888
Phone (401) 941-3322
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | Yes | ||
| Low Vision Rehabilitation Optometrist |
152WL0500X | |||
| Diabetes Educator Registered Nurse |
163WD0400X | |||
| Early Intervention Provider Agency | 252Y00000X |
Addresses
Primary practice location
43 Jefferson Blvd
Warwick, RI 02888-1078
Mailing address
43 Jefferson Blvd
Suite 1
Warwick, RI 02888-1078
Phone (401) 941-3322
Other providers in Warwick, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 30, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.