Dr. Elissa M. Contillo Inc

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

DR. ELISSA M. CONTILLO INC

Doing business as

Dr Elissa M Contillo

Practice address

671 Atwood Ave
Cranston, RI 02920-5322

Phone

(401) 421-4821

Fax

(401) 421-0928

NPI assigned

Nov 5, 2007

Last updated

Feb 25, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Elissa M Contillo, ODNPI 1134295280

Title

Owner

Phone

(410) 421-4821

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dr Elissa M Contillo Doing business as

Medicare fee-for-service enrollment

Enrolled in RI

Enrollment records 1

Practitioners 1

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.

• Elissa M Contillo, OD

  • Optometrist
  • Cranston, RI
  • NPI 1134295280
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1194220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645747200000",
    "number": "1881874196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "671 ATWOOD AVE",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029205322",
            "telephone_number": "401-421-4821",
            "fax_number": "401-421-0928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "671 ATWOOD AVE",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029205322",
            "telephone_number": "401-421-4821",
            "fax_number": "401-421-0928"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "422 Main St",
            "address_purpose": "LOCATION",
            "city": "Wakefield",
            "state": "RI",
            "postal_code": "028797422",
            "country_code": "US",
            "telephone_number": "401-751-2533",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DR. ELISSA M. CONTILLO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-05",
        "last_updated": "2022-02-25",
        "certification_date": "2022-02-25",
        "status": "A",
        "authorized_official_last_name": "CONTILLO",
        "authorized_official_first_name": "ELISSA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-421-4821",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9007907",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr Elissa M Contillo",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dr Stephen M Estner Professional Corporation
• Dr. Danielle Desantis &Associates
• Dr. Danielle Desantis, PSYD, LMFT
• Dr. Desantis & Associates
• Dr. Elissa M. Contillo Inc (Dr Elissa M Contillo)
• Dr. Harvey D. Rappoport PC
• Dr. Kenneth J Morrissey, MD PC
• Jennifer Ann Drake, M.ED
• Mary B Dromgoole, WHNP, NP
• DRS Napolitano and Conforti LLC

• 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 Feb 25, 2022; 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.