Sherri A Blennerhassett, OD
Individual provider Active NPI Optometrist · Johnston, RI
NPI 1922058296 · NPPES record last updated Nov 2, 2022
Key facts
- NPI
- 1922058296
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- ODTG00587 (RI)
- Practice address
- 1277 Hartford Ave
Johnston, RI 02919-7121 - Phone
- (401) 521-3606
- Fax
- (401) 453-3288
- NPI assigned
- May 10, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- New England College of Optometry, 1992
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Rhode Island Optometrics LLC
Practice addresses (Care Compare)
1400 Oaklawn Ave
Cranston, RI 02920-2643
Phone (401) 463-6696
1875 Mineral Spring Ave
North Providence, RI 02904-3719
Phone (401) 353-3200
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in RI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080318000830 | RI | Practitioner - Optometry | 8426134396 |
Reassigns benefits to 2 organizations Practice locations: North Providence, RI |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ODTG00587 | RI | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Giulio G Diamante MD Inc | Optometrist | Current |
Accepting new patients |
Locations
1277 Hartford Ave
Johnston, RI 02919
Phone (401) 521-3603
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | ODTG00587 | RI | Yes |
Addresses
Primary practice location
1277 Hartford Ave
Johnston, RI 02919-7121
Mailing address
1277 Hartford Ave
Johnston, RI 02919-7121
Phone (401) 521-3606
Other providers in Johnston, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 2, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.