Individual provider Active NPI

Nicole Patricio

  • Optometrist
  • Woonsocket, RI
National Provider Identifier
1912458530
Registry record updated Oct 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
ODTG00635 Issued in RI
Practice address
2345 Mendon Rd
Woonsocket, RI 02895-6187
Phone
(401) 765-5430
Fax
(401) 765-8175
NPI assigned
Oct 19, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X ODTG00635 RI Primary

Addresses

Primary practice location

2345 Mendon Rd
Woonsocket, RI 02895-6187

Mailing address

48 Willard St
New Bedford, MA 02744-1515
Phone (508) 264-5880

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20190904002263 MA Practitioner - Optometry 7517234529 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
John Magalhaes and Associates, IncGroup PAC ID 4284605262, 8 clinicians

Practice addresses (Care Compare)

382 State Rd
Dartmouth, MA 02747-4302
Phone (508) 717-0425

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery14

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
John Magalhaes and Associates, Inc. Optometrist CurrentSince Jun 9, 2019 Accepting new patients

Locations

382 State Rd
North Dartmouth, MA 02747
Phone (508) 717-0425

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": "1476835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476835200000",
    "number": "1912458530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 WILLARD ST",
            "city": "NEW BEDFORD",
            "state": "MA",
            "postal_code": "027441515",
            "telephone_number": "508-264-5880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2345 MENDON RD",
            "city": "WOONSOCKET",
            "state": "RI",
            "postal_code": "028956187",
            "telephone_number": "401-765-5430",
            "fax_number": "401-765-8175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATRICIO",
        "first_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-19",
        "last_updated": "2016-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "RI",
            "license": "ODTG00635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woonsocket, RI

Sources for this page

Verify at the official NPI Registry.