Kayla M Rose, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

ODTG00679 Issued in RI

Practice address

621 Pound Hill Rd Ste 104
North Smithfield, RI 02896-9358

Phone

(401) 769-6323

NPI assigned

Jun 12, 2019

Sex

Female

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

Electronic endpoints 1

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kayla1@duquettefamilyeye.emadirect.md

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.

• Duquette Family Eye Care Inc

  • Optometrist
  • North Smithfield, RI
  • NPI 1336471747
  Medicare reassignment NPD

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

{
    "created_epoch": "1560297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1992364020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "891 WESTMINSTER ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029034020",
            "telephone_number": "401-331-7850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 POUND HILL RD STE 104",
            "city": "NORTH SMITHFIELD",
            "state": "RI",
            "postal_code": "028969358",
            "telephone_number": "401-769-6323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSE",
        "first_name": "KAYLA",
        "middle_name": "M",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-12",
        "last_updated": "2023-11-27",
        "certification_date": "2020-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "RI",
            "license": "ODTG00679",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF RI",
            "identifier": "BC00404662",
            "state": "RI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kayla1@duquettefamilyeye.emadirect.md",
            "affiliation": "Y",
            "affiliationName": "Duquette Family Eye Care Inc",
            "address_1": "621 Pound Hill Rd",
            "address_2": "Suite 104",
            "city": "North Smithfield",
            "state": "RI",
            "country_code": "US",
            "postal_code": "028969358",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Ri Neurology Group, Inc
• Virginia Ann Rockhill, PHD
• Danielle Marie Rodrigues, PA-C
• Ronald Romano, DO
• Ronald Romano, DO, Inc
• Shanna Theresa Rudek
• Cheryl Sachs, MSW, ACSW, SSW-S
• Saint Antoine Residence
• Jamie Schmitt, LMHC
• Tyler A Scorpio

• Optometrist in North Smithfield, RI
• Providers in North Smithfield, RI by specialty
• Optometrist in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.