Everett J Federici

Primary specialty

OptometristTaxonomy code 152W00000X

License

ODX00280 Issued in RI

Legal business name

EVERETT J FEDERICI

Practice address

200 Midway Road
Suite 163
Cranston, RI 02920-5749

Phone

(401) 942-2020

Fax

(401) 942-2020

NPI assigned

Mar 10, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Everett J Federici, OD

Title

Owner

Phone

(401) 942-2020

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1205107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205107200000",
    "number": "1780854349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 MIDWAY ROAD",
            "address_2": "SUITE 163",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029205749",
            "telephone_number": "401-942-2020",
            "fax_number": "401-942-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MIDWAY ROAD",
            "address_2": "SUITE 163",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029205749",
            "telephone_number": "401-942-2020",
            "fax_number": "401-942-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERETT J FEDERICI",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-10",
        "last_updated": "2008-03-10",
        "status": "A",
        "authorized_official_last_name": "FEDERICI",
        "authorized_official_first_name": "EVERETT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "401-942-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "RI",
            "license": "ODX00280",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "EF00128",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Cranston, RI
• Providers in Cranston, RI by specialty
• Optometrist in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.