Active NPI
Maria Sampalis, O.D.
- Optometrist
- Warwick, RI
National Provider Identifier
1740470566
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- ODTG00523
- Practice address
- 650 Bald Hill Rd
Warwick, RI 02886-1863 - Phone
- (401) 822-2050
- Fax
- (401) 822-2050
- NPI assigned
- Jul 27, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | ODTG00523 | RI | Primary |
Addresses
Primary practice location
650 Bald Hill Rd
Warwick, RI 02886-1863
Mailing address
650 Bald Hill Rd
Warwick, RI 02886-1863
Phone (401) 822-2050
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MS90656 | Medicaid | RI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in RI, MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- New England College of Optometry, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1013 Reservoir Ave
Cranston, RI 02910-5134
Phone (401) 942-4087
769 Ma
Suite 97
Hyannis, MA 02601
Phone (508) 790-7352
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4629 | MA | MD | Mental Health Counselor |
| 0915 | NH | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blackstone Valley Community Health Care, Inc. | Current | Accepting new patients | |
| Blackstone Valley Community Health Care, Inc. | Past | Accepting new patients | |
| Sinoptics, Inc | Past | Accepting new patients | |
| Pediatric Ophthalmology & Strabismus Associates Inc | Past | Accepting new patients |
Locations
9 Chestnut St
Central Falls, RI 02863
Phone (401) 722-0081
39 East Ave
Pawtucket, RI 02860
Phone (401) 722-0081
Organizations & group practices 5
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.
-
- Federally Qualified Health Center (FQHC)
- Pawtucket, RI
- NPI 1063574135
-
- Federally Qualified Health Center (FQHC)
- Central Falls, RI
- NPI 1275847766
-
- Ophthalmology Physician
- Providence, RI
- NPI 1578678777
-
- Eyewear Supplier
- Providence, RI
- NPI 1952439903
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185494400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1367452800000",
"number": "1740470566",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "650 BALD HILL RD",
"city": "WARWICK",
"state": "RI",
"postal_code": "028861863",
"telephone_number": "401-822-2050",
"fax_number": "401-822-2050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "650 BALD HILL RD",
"city": "WARWICK",
"state": "RI",
"postal_code": "028861863",
"telephone_number": "401-822-2050",
"fax_number": "401-822-2050"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAMPALIS",
"first_name": "MARIA",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-27",
"last_updated": "2013-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "RI",
"license": "ODTG00523",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "MS90656",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Warwick, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2013; 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.