Provider Demographics
NPI:1184683815
Name:GIRGENTI, JOSEPH VICTOR (OD)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:VICTOR
Last Name:GIRGENTI
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17 VILLAGE PLAZA WAY
Mailing Address - Street 2:
Mailing Address - City:N SCITUATE
Mailing Address - State:RI
Mailing Address - Zip Code:02857-1849
Mailing Address - Country:US
Mailing Address - Phone:401-934-2800
Mailing Address - Fax:
Practice Address - Street 1:17 VILLAGE PLAZA WAY
Practice Address - Street 2:BOX 4
Practice Address - City:N SCITUATE
Practice Address - State:RI
Practice Address - Zip Code:02857-1849
Practice Address - Country:US
Practice Address - Phone:401-934-2800
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-21
Last Update Date:2023-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIODTA00432152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA2200088OtherUNITED HEALTH CARE
TX461497OtherAETNA US HEALTHCARE
RI78308OtherRI PLAN 65
RI78308OtherRI FEDERAL BLUE CROSS
CT2200088OtherOXFORD HEALTH PLANS
GA410048380OtherRAILROAD RETIREE
RI9007947Medicaid
TX2200088OtherUNITED HEALTH CARE OF N.E
RI2874Medicaid
PA050497755OtherCIGNA HEALTHCARE
RI201880OtherBLUE CHIP
RI78308OtherRI BLUE CROSS BLUE SHIELD