Individual provider Active NPI

Anna M Opydo, O.D

  • Optometrist
  • West Warwick, RI
National Provider Identifier
1992033831
Registry record updated Dec 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
ODTG00544 Issued in RI
Practice address
215 Legris Ave
West Warwick, RI 02893-2937
Phone
(401) 828-4838
Fax
(401) 827-8603
NPI assigned
Dec 4, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X ODTG00544 RI Primary

Addresses

Primary practice location

215 Legris Ave
West Warwick, RI 02893-2937

Mailing address

21 Ann Dr
Johnston, RI 02919-4896
Phone (401) 374-1474

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ODTG00544RIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Primary & Psychiatric Integrated Care PastSince Jul 25, 2021 Accepting new patients
Victorian Eye Care Inc. Optometrist PastSince Aug 25, 2011 Accepting new patients
Westminster Eyecare Associates Inc Optometrist PastSince Feb 15, 2024 Accepting new patients
Hindsight 20/20, PC Optometrist Past Accepting new patients

Organizations & group practices 4

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": "1259884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259884800000",
    "number": "1992033831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 ANN DR",
            "city": "JOHNSTON",
            "state": "RI",
            "postal_code": "029194896",
            "telephone_number": "401-374-1474",
            "fax_number": "401-827-8603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 LEGRIS AVE",
            "city": "WEST WARWICK",
            "state": "RI",
            "postal_code": "028932937",
            "telephone_number": "401-828-4838",
            "fax_number": "401-827-8603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OPYDO",
        "first_name": "ANNA",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "O.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-04",
        "last_updated": "2009-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "RI",
            "license": "ODTG00544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Warwick, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.