Organization Active NPI

Charles M Collins MD LTD

Doing business as Eye Care for Rhode Island

  • Ophthalmology Physician
  • Middletown, RI
National Provider Identifier
1851492482
Registry record updated Jul 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
CHARLES M COLLINS MD LTD
Doing business as
Eye Care for Rhode Island
Practice address
939 W Main Rd
Middletown, RI 02842-6390
Phone
(401) 847-1383
Fax
(401) 847-1384
NPI assigned
Sep 26, 2006
Last updated
Jul 18, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2023

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

Authorized official

Name
Nerry Terpening
Title
Office Manager
Phone
(401) 847-1383

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

939 W Main Rd
Middletown, RI 02842-6390

Mailing address

939 W Main Rd
Middletown, RI 02842-6390
Phone (401) 847-1383

Other identifiers 5

IdentifierTypeStateIssuer
0017102OtherMAMEDICARE
CC41177MedicaidRI
9022363MedicaidRI
9004227MedicaidRI
709006179OtherRIMEDICARE

Other names 1

  • Eye Care for Rhode Island Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI, MA3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20080815000034 RI Part B Supplier - Clinic/Group Practice 9739111584 Receives reassigned benefits from 4 practitioners
Practice locations: Middletown, RI
O20100916000429 MA Part B Supplier - Clinic/Group Practice 9739111584 Receives reassigned benefits from 1 practitioner
Practice locations: Swansea, MA
O20100930055841 RI DME Supplier - Physician - Ophthalmology 9739111584 Practice locations: Middletown, RI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689638400000",
    "number": "1851492482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "939 W MAIN RD",
            "city": "MIDDLETOWN",
            "state": "RI",
            "postal_code": "028426390",
            "telephone_number": "401-847-1383",
            "fax_number": "401-847-1384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "939 W MAIN RD",
            "city": "MIDDLETOWN",
            "state": "RI",
            "postal_code": "028426390",
            "telephone_number": "401-847-1383",
            "fax_number": "401-847-1384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES M COLLINS MD LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2023-07-18",
        "certification_date": "2023-06-28",
        "status": "A",
        "authorized_official_last_name": "TERPENING",
        "authorized_official_first_name": "NERRY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "401-847-1383"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "0017102",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CC41177",
            "state": "RI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9022363",
            "state": "RI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9004227",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "709006179",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eye Care for Rhode Island",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Middletown, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.