Active NPIIndividual provider

Angela M Macksoud, OD

Optometrist in Bristol, Rhode Island

NPI Number1134952336
Practice location
375 Metacom Ave, Bristol, RI 02809-5179
Fax
401-253-3220
Last updated
August 4, 2025

Angela Marie Macksoud is an Optometrist based in Bristol, RI. Angela Marie Macksoud practices in Bristol, RI and has the professional credentials of OD. The NPI Number for Angela Marie Macksoud is 1134952336 and holds a License No. ODTA00576 (RI). The current practice location address for Angela Marie Macksoud is 375 Metacom Ave, Bristol, RI 02809-5179 and can be reached out via phone at 401-253-2020 and via fax at 401-253-3220.

Provider Profile Details

NPI Number
1134952336
Provider Name
Angela Marie Macksoud
Credential
OD
Provider Entity Type
Individual
Gender
Female
Address
375 Metacom Ave, Bristol, RI 02809-5179
Phone Number
401-253-2020
Fax Number
401-253-3220
Primary Taxonomy
Optometrist · 152W00000X
Sole Proprietor
No
Provider Enumeration Date
August 22, 2024
Last Update Date
August 4, 2025
Certification Date
August 4, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
375 Metacom Ave
Bristol, RI 02809-5179
Zip
02809-5179
Phone Number
401-253-2020
Fax Number
401-253-3220
Bristol, RI 02809Get directions →

Provider Business Mailing Address Details

Address
1817 Old Louisquisset Pike
Lincoln, RI 02865-4516
City
Lincoln
State
RI
Zip
02865-4516
Phone Number
401-580-3572

License Information

License Number
ODTA00576
License State
RI
Taxonomy
Optometrist · 152W00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Angela M Macksoud, OD?

The NPI number of Angela M Macksoud, OD is 1134952336. It was assigned on August 22, 2024 and is currently active in the NPPES registry.

What is the specialty of Angela M Macksoud, OD?

Angela M Macksoud, OD is registered under the primary taxonomy Optometrist (code 152W00000X), licensed in RI under license number ODTA00576.

Where does Angela M Macksoud, OD practice?

The practice location is 375 Metacom Ave, Bristol, RI 02809-5179. The office can be reached at 401-253-2020 (phone) or 401-253-3220 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1134952336 directly on the NPPES registry website.

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