DR. SCOTT H. SURDUT (NPI# 1982780433) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982780433 |
| Entity Type | Individual |
| Full Name | DR. SCOTT H. SURDUT |
| Credential | O.D. |
| Practice Address |
1013 Reservoir Ave Cranston RI 02910-5134 |
| Practice Telephone | 4019424087 |
| Mailing Telephone | 4019424087 |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2008-05-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | ODTA 00356 | RI | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RI | TAX # | 050381140 | 01 |
| Street Address |
1013 RESERVOIR AVE |
| City | CRANSTON |
| State | RI |
| Zip Code | 02910-5134 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487717708 | Cranston Eye Associates Inc. | Optometrist | 1013 Reservoir Ave, Cranston, RI 02910-5134 | 2006-12-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417443441 | Luis Guzman | Durable Medical Equipment & Medical Supplies | 29 Rolfe Square, Cranston, MA 02910 | 2018-07-02 |
| 1023535010 | Sarah Pagliarini | Nurse Practitioner | 725 Reservoir Ave Ste 308, Cranston, RI 02910 | 2017-08-29 |
| 1861890105 | Marissa Falco | Counselor | 1471 Elmwood Avenue, Cranston, RI 02910 | 2014-12-19 |
| 1952702425 | Lauren Beth Shibley | Counselor | 825 Pontiac Avenue Apt 14101, Cranston, RI 02910 | 2014-09-15 |
| 1831516632 | Kelly Kilmartin | Counselor | 471 Elmwood Avenue, Cranston, RI 02910 | 2014-03-19 |
| 1376784827 | Michael Eric Schaffer | Counselor | 989 Reservoir Ave Ste 104, Cranston, RI 02910 | 2009-03-13 |
| 1639384829 | Dolores Maiello Ciambrone | Social Worker | 145 Harmon Ave, Cranston, RI 02910 | 2007-05-11 |
| 1750502241 | Mary Jane Boucher | Counselor | Codac Cranston, 1052 Park Ave, Cranston, RI 02910 | 2007-05-01 |
| 1134250715 | Michele Bailey Chaudhry | Social Worker | 935 Reservoir Ave, Cranston, RI 02910 | 2007-03-08 |
| 1487703658 | Karen M Mega | Dentist | 567 Reservoir Ave, Cranston, RI 02910 | 2007-01-09 |
| Find all providers in zip 02910 | ||||
| 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 |
|---|---|---|---|---|
| 1144673096 | Joanne Le | Optometrist | 1400 Oaklawn Ave., Cranston, RI 02920 | 2016-07-15 |
| 1780854349 | Everett J Federici | Optometrist | 200 Midway Road, Suite 163, Cranston, RI 02920-5749 | 2008-03-10 |
| 1932276508 | Maria Jablonski | Optometrist | 110 Atwood Avenue, Cranston, RI 02920 | 2006-11-29 |
| 1346316064 | Lisa Ann De Giulio | Optometrist | 671 Atwood Ave, Cranston, RI 02920-5322 | 2006-11-27 |
| 1427007731 | Optometric Care Inc | Optometrist | 1400 Oaklawn Ave, Cranston, RI 02920 | 2006-05-06 |
| 1962490540 | Jodi D Pukl | Optometrist | 1145 Reservoir Ave Ste 117, Cranston, RI 02920-6000 | 2005-10-08 |
| 1407858731 | Harvey D Rappoport | Optometrist | 950 Reservoir Ave, Cranston, RI 02910-4420 | 2005-05-31 |
| 1487208138 | Clarity Eye Care, Ltd. | Optometrist | 1145 Reservoir Ave Ste 117, Cranston, RI 02920 | 2019-07-31 |
| 1053896001 | Stephanie Anne Hanson | Optometrist | 2000 Chapel View Blvd Ste 220, Cranston, RI 02920-3091 | 2018-09-26 |
| 1942791736 | Rhode Island Optometrics, LLC | Optometrist | 1400 Oaklawn Ave, Cranston, RI 02920 | 2018-05-29 |
| Find all providers in CRANSTON | ||||
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| 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.