Individual provider Active NPI

Eric Michael Prytula, O.D.

  • Optometrist
  • Johnston, RI
National Provider Identifier
1972935039
Registry record updated Jul 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
ODTG00601 Issued in RI
Practice address
1277 Hartford Ave
Johnston, RI 02919-7121
Phone
(401) 521-3606
Fax
(401) 453-3288
NPI assigned
Jul 31, 2013
Last updated
Jul 8, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X ODTG00601 RI Primary

Addresses

Primary practice location

1277 Hartford Ave
Johnston, RI 02919-7121

Mailing address

1277 Hartford Ave
Johnston, RI 02919-7121
Phone (401) 521-3606

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131104000309 RI Practitioner - Optometry 2961637764 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Giulio G Diamante MD IncGroup PAC ID 7719098730, 4 clinicians
Brown Vision Care, IncGroup PAC ID 3072587849, 5 clinicians

Practice addresses (Care Compare)

1277 Hartford Ave
Ocean State Ophthalmology
Johnston, RI 02919-3232
Phone (401) 521-3606

400 Warren Ave
East Providence, RI 02914-3826
Phone (401) 438-4447

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Giulio G Diamante MD Inc Optometrist CurrentSince Jun 15, 2025 Accepting new patients

Locations

1277 Hartford Ave
Johnston, RI 02919
Phone (401) 521-3603

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1375228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751932800000",
    "number": "1972935039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1277 HARTFORD AVE",
            "city": "JOHNSTON",
            "state": "RI",
            "postal_code": "029197121",
            "telephone_number": "401-521-3606",
            "fax_number": "401-453-3288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1277 HARTFORD AVE",
            "city": "JOHNSTON",
            "state": "RI",
            "postal_code": "029197121",
            "telephone_number": "401-521-3606",
            "fax_number": "401-453-3288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRYTULA",
        "first_name": "ERIC",
        "middle_name": "MICHAEL",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-31",
        "last_updated": "2025-07-08",
        "certification_date": "2025-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "RI",
            "license": "ODTG00601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnston, RI

Sources for this page

Verify at the official NPI Registry.