Richard P Canestrini, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

161T Issued in WY

Practice address

544 Broadway St
Rock Springs, WY 82901-6346

Phone

(307) 382-3937

Fax

(307) 382-2918

NPI assigned

Jul 15, 2005

Last updated

May 2, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WY

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

Specialty

Optometry

Education

Southern College of Optometry, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Family Vision Clinic, PCGroup PAC ID 4284617499, 3 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

91.29 of 100Reported as individual

Quality

82.58

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Family Vision Clinic, PC

  • Optometrist
  • Rock Springs, WY
  • NPI 1619964335
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1121385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209686400000",
    "number": "1932108677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "544 BROADWAY ST",
            "city": "ROCK SPRINGS",
            "state": "WY",
            "postal_code": "829016346",
            "telephone_number": "307-382-3937",
            "fax_number": "307-382-2918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "544 BROADWAY ST",
            "city": "ROCK SPRINGS",
            "state": "WY",
            "postal_code": "829016346",
            "telephone_number": "307-382-3937",
            "fax_number": "307-382-2918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANESTRINI",
        "first_name": "RICHARD",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-15",
        "last_updated": "2008-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WY",
            "license": "161T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104186000",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jamie Elyse Busenbark, LCSW
• James R Byars Jr., OD
• Cindi B Cain, RN
• Rita Joan Calzada, PCSW
• Carolyn H Canestrini, R.PH.
• Larry James Carlson, PH.D
• Tyler Barney Carlson, D.M.D
• Karla Ann Carnahan, M.S., CCC, SLP-L
• Christi Juanita Carson
• Jazmine Casillas

• Optometrist in Rock Springs, WY
• Providers in Rock Springs, WY by specialty
• Optometrist in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.