Active NPIIndividual provider

Kelly M Pereira, OD

Optometrist in East Providence, Rhode Island

NPI Number1679095608
Practice location
450 Veterans Memorial Pkwy, East Providence, RI 02914-5300
Fax
401-431-1125
Last updated
January 17, 2019

Kelly M Pereira is an Optometrist based in East Providence, RI. Kelly M Pereira practices in East Providence, RI and has the professional credentials of OD. The NPI Number for Kelly M Pereira is 1679095608 and holds a License No. ODTG00643 (RI). The current practice location address for Kelly M Pereira is 450 Veterans Memorial Pkwy, East Providence, RI 02914-5300 and can be reached out via phone at 401-431-1119 and via fax at 401-431-1125.

Provider Profile Details

NPI Number
1679095608
Provider Name
Kelly M Pereira
Credential
OD
Provider Entity Type
Individual
Gender
Female
Address
450 Veterans Memorial Pkwy, East Providence, RI 02914-5300
Phone Number
401-431-1119
Fax Number
401-431-1125
Primary Taxonomy
Optometrist · 152W00000X
Sole Proprietor
No
Provider Enumeration Date
July 11, 2017
Last Update Date
January 17, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
450 Veterans Memorial Pkwy
East Providence, RI 02914-5300
Zip
02914-5300
Phone Number
401-431-1119
Fax Number
401-431-1125
East Providence, RI 02914Get directions →

Provider Business Mailing Address Details

Address
450 Veterans Memorial Pkwy
East Providence, RI 02914-5300
City
East Providence
State
RI
Zip
02914-5300
Phone Number
401-431-1119
Fax Number
401-943-1324

License Information

License Number
ODTG00643
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 Kelly M Pereira, OD?

The NPI number of Kelly M Pereira, OD is 1679095608. It was assigned on July 11, 2017 and is currently active in the NPPES registry.

What is the specialty of Kelly M Pereira, OD?

Kelly M Pereira, OD is registered under the primary taxonomy Optometrist (code 152W00000X), licensed in RI under license number ODTG00643.

Where does Kelly M Pereira, OD practice?

The practice location is 450 Veterans Memorial Pkwy, East Providence, RI 02914-5300. The office can be reached at 401-431-1119 (phone) or 401-431-1125 (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 1679095608 directly on the NPPES registry website.

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