Individual provider Active NPI

Maria Sampalis, O.D.

  • Optometrist
  • Warwick, RI
National Provider Identifier
1740470566
Registry record updated May 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
ODTG00523 Issued in RI
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

Updated by the provider on May 2, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
MS90656MedicaidRI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI, MA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20080211000421 RI Practitioner - Optometry 3678656923 Reassigns benefits to 2 organizations
I20120405000321 MA Practitioner - Optometry 3678656923 Reassigns benefits to 1 organization

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

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4629MAMDMental Health Counselor
0915NHMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Blackstone Valley Community Health Care, Inc. CurrentSince Sep 1, 2014 Accepting new patients
Blackstone Valley Community Health Care, Inc. Past Accepting new patients
Sinoptics, Inc Past Accepting new patients
Pediatric Ophthalmology & Strabismus Associates Inc PastSince Sep 1, 2000 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.

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

Verify at the official NPI Registry.