Individual provider Active NPI

David Robbins Tien, MD

  • Ophthalmology Physician
  • Providence, RI
National Provider Identifier
1932215316
Registry record updated May 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD007784 Issued in RI
Practice address
2 Dudley St
Suite 505
Providence, RI 02905-3236
Phone
(401) 444-7008
Fax
(401) 444-4862
NPI assigned
Aug 21, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 19, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X RI7784 RI
Ophthalmology Physician 207W00000X MD007784 RI Primary

Addresses

Primary practice location

2 Dudley St
Suite 505
Providence, RI 02905-3236

Mailing address

2 Dudley St
Suite 505
Providence, RI 02905-3236
Phone (401) 444-7008

Other identifiers 1

IdentifierTypeStateIssuer
9002384MedicaidRI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110920000384 RI Practitioner - Ophthalmology 7113021197 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Michigan Medical School, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pediatric Ophthalmology and Strabismus Associates IncGroup PAC ID 5092739441, 3 clinicians

Practice addresses (Care Compare)

2 Dudley St
Suite 505
Providence, RI 02905-3249
Phone (401) 444-7008

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
RI7784RIMDSpecialist
MD007784RIMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Ophthalmology & Strabismus Associates Inc Specialist CurrentSince Sep 1, 2000 Accepting new patients
Sinoptics, Inc PastSince Sep 1, 2000 Accepting new patients

Locations

1351 S County Trl
Ste 220
East Greenwich, RI 02818
Phone (401) 866-4040

2 Dudley St
Ste 505
Providence, RI 02905
Phone (401) 444-7008

Organizations & group practices 2

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": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684454400000",
    "number": "1932215316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 DUDLEY ST",
            "address_2": "SUITE 505",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029053236",
            "telephone_number": "401-444-7008",
            "fax_number": "401-444-4862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 DUDLEY ST",
            "address_2": "SUITE 505",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029053236",
            "telephone_number": "401-444-7008",
            "fax_number": "401-444-4862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIEN",
        "first_name": "DAVID",
        "middle_name": "ROBBINS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-21",
        "last_updated": "2023-05-19",
        "certification_date": "2023-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "RI",
            "license": "RI7784",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "RI",
            "license": "MD007784",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9002384",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Providence, RI

Sources for this page

Verify at the official NPI Registry.