Individual provider Active NPI

Tatiana Giraldo, OD

  • Optometrist
  • East Providence, RI
National Provider Identifier
1801317797
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
ODTG00641 Issued in RI
Practice address
400 Warren Ave
East Providence, RI 02914-3826
Phone
(401) 438-4447
Fax
(401) 438-0160
NPI assigned
Jun 29, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X ODTG00641 RI Primary

Addresses

Primary practice location

400 Warren Ave
East Providence, RI 02914-3826

Mailing address

83 Margaret St
Pawtucket, RI 02860-1408
Phone (401) 935-2120

Other practice location 1

304 Front St
Lincoln, RI 02865-2430
Phone (401) 726-1747

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
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 1

Enrollment IDStateProvider typePAC IDDetails
I20180124003015 RI Practitioner - Optometry 1456610245 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brown Vision Care, IncGroup PAC ID 3072587849, 5 clinicians

Practice addresses (Care Compare)

400 Warren Ave
East Providence, RI 02914-3826
Phone (401) 438-4447

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery11

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Brown Vision Care, Inc Optometrist CurrentSince Nov 22, 2017 Accepting new patients

Locations

400 Warren Ave
East Providence, RI 02914
Phone (401) 431-1800

304 Front St
Lincoln, RI 02865
Phone (401) 725-9400

Organizations & group practices 1

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": "1498694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1801317797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "83 MARGARET ST",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028601408",
            "telephone_number": "401-935-2120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 WARREN AVE",
            "city": "EAST PROVIDENCE",
            "state": "RI",
            "postal_code": "029143826",
            "telephone_number": "401-438-4447",
            "fax_number": "401-438-0160"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "304 Front St",
            "address_purpose": "LOCATION",
            "city": "Lincoln",
            "state": "RI",
            "postal_code": "028652430",
            "country_code": "US",
            "telephone_number": "401-726-1747",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GIRALDO",
        "first_name": "TATIANA",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-29",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "RI",
            "license": "ODTG00641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Providence, RI

Sources for this page

Verify at the official NPI Registry.