BASANT T SIDHOM (NPI# 1548789654) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548789654 |
| Entity Type | Individual |
| Full Name | BASANT T SIDHOM |
| Credential | OD |
| Practice Address |
1565 Post Rd Unit 5 Warwick RI 02888-5949 |
| Practice Telephone | 6034184956 |
| Mailing Telephone | 4014729424 |
| Mailing Fax Number | 4014729423 |
| Enumeration Date | 2017-09-11 |
| Last Update Date | 2020-10-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | ODTG00655 | RI | Eye and Vision Services Providers |
| N | 152W00000X | Optometrist | 5231 | MA | Eye and Vision Services Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 63 Station Lndg, Medford, MA 021555192 | 7813935367 | |
| 298 W Exchange St Unit 100, Providence, RI 029031135 | 4014556834 | |
| 220 Toll Gate Rd, Warwick, RI 02886 | 4017326640 |
| Street Address |
1565 POST RD UNIT 5 |
| City | WARWICK |
| State | RI |
| Zip Code | 02888-5949 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134759350 | Raphael Corp | Optometrist | 1565 Post Rd Unit 5, Warwick, RI 02888-5949 | 2020-01-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639644164 | Paul J Rocchio | Counselor | 2020 Elmwood Avenue Bridgemark, Inc., Warwick, RI 02888 | 2018-10-11 |
| 1184147811 | Alyssa Campagnone | Optometrist | 222 Jefferson Blvd Fl 3, Warwick, RI 02888 | 2017-07-25 |
| 1215204698 | Nicolette Fraza | Dietitian, Registered | 37 General Hawkinds Dr, Warwick, RI 02888 | 2011-11-29 |
| 1043431042 | Double Vision Optical Inc. | Eyewear Supplier (Equipment, not the service) | 1168 Warwick Ave, Warwick, RI 02888 | 2007-05-01 |
| 1205059037 | Richard Mark Goldenberg | Dentist | 708 Warwick Avenue, Warwick, RI 02888 | 2007-04-10 |
| 1558486068 | Richard Michael Bello | Optometrist | 1168 Warwick Avenue, Warwick, RI 02888 | 2007-03-21 |
| 1407997687 | Michael M Gooding | Dentist | 1422 Warwick Avenue, Warwick, RI 02888 | 2007-02-09 |
| 1528109246 | Kristie A. Ervanian | Counselor | 1087 Warwick Ave Rear Unit, Warwick, RI 02888 | 2007-02-08 |
| 1457417883 | Eugene Milton Dandrea | Psychologist | 1434 Warwick Avenue, Warwick, RI 02888 | 2006-12-29 |
| 1689750044 | Lucille C Vega | Family Medicine | 962 Warwick Avenue, Warwick, RI 02888 | 2006-10-28 |
| Find all providers in zip 02888 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316581424 | Dr. Degiulio & Associates Inc | Optometrist | 400 Bald Hill Road Ste 163, Warwick Mall, Warwick, RI 02886 | 2019-10-31 |
| 1184147811 | Alyssa Campagnone | Optometrist | 222 Jefferson Blvd Fl 3, Warwick, RI 02888 | 2017-07-25 |
| 1497125199 | Aiden Philip Cwynar | Optometrist | 1050 Centerville Road, Warwick, RI 02886 | 2015-10-07 |
| 1255644803 | Joelle Rodriguez | Optometrist | 36 Ronald Reagan Blvd., Warwick, NY 10990 | 2010-07-23 |
| 1598911224 | Family Eye Health Associates, LLC | Optometrist | 2374 Post Rd Ste 104, Warwick, RI 02886-2270 | 2008-08-13 |
| 1265604862 | Toll Gate Vision, Ltd | Optometrist | 1120 Toll Gate Rd Ste C, Suite C, Warwick, RI 02886-0648 | 2008-03-24 |
| 1205958030 | Albert M Glucksman | Optometrist | 1624 Warwick Ave, Warwick, RI 02889 | 2007-04-04 |
| 1558486068 | Richard Michael Bello | Optometrist | 1168 Warwick Avenue, Warwick, RI 02888 | 2007-03-21 |
| 1194881961 | Koch Eye Associates LLP | Optometrist | 566 Tollgate Road, Warwick, RI 02886 | 2006-12-28 |
| 1407929169 | Greg S. Levin | Optometrist | 404 Toll Gate Rd, Warwick, RI 02886-4317 | 2006-11-17 |
| Find all providers in WARWICK | ||||
Please comment or provide details below to improve the information on BASANT T SIDHOM.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.