Organization Active NPI

Dr. David W. Ferris and Associates Inc

  • Optometrist
  • Warwick, RI
National Provider Identifier
1972572998
Registry record updated Mar 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
ODTG00460 Issued in RI
Legal business name
DR. DAVID W. FERRIS AND ASSOCIATES INC
Practice address
222 Jefferson Blvd
Warwick, RI 02888-3855
Phone
(401) 732-2350
Fax
(401) 738-2744
NPI assigned
Mar 14, 2006
Last updated
Mar 14, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2015

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

Authorized official

Name
Dr. Stephen M Montaquila, O.D.NPI 1326003674
Title
President
Phone
(401) 732-2350

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X ODTG00460 RI Primary

Addresses

Primary practice location

222 Jefferson Blvd
Warwick, RI 02888-3855

Mailing address

222 Jefferson Blvd
Warwick, RI 02888-3855
Phone (401) 732-2350

Other identifiers 1

IdentifierTypeStateIssuer
9009876MedicaidRI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050224000044 RI Part B Supplier - Clinic/Group Practice 9335192996 Receives reassigned benefits from 3 practitioners
Practice locations: Warwick, RI

National Provider Directory

National Provider Directory

Locations

222 Jefferson Blvd
Unit 7
Warwick, RI 02888
Phone (401) 732-2350

615 Jefferson Blvd
Warwick, RI 02886
Phone (401) 732-2350

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426291200000",
    "number": "1972572998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 JEFFERSON BLVD",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028883855",
            "telephone_number": "401-732-2350",
            "fax_number": "401-738-2744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 JEFFERSON BLVD",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028883855",
            "telephone_number": "401-732-2350",
            "fax_number": "401-738-2744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. DAVID W. FERRIS AND ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-14",
        "last_updated": "2015-03-14",
        "status": "A",
        "authorized_official_last_name": "MONTAQUILA",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "401-732-2350",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "RI",
            "license": "ODTG00460",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9009876",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warwick, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2015; 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.