Provider Demographics
NPI:1427041136
Name:NI, OSCAR W (OD)
Entity Type:Individual
Prefix:DR
First Name:OSCAR
Middle Name:W
Last Name:NI
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1563 FALL RIVER AVE STE 1
Mailing Address - Street 2:
Mailing Address - City:SEEKONK
Mailing Address - State:MA
Mailing Address - Zip Code:02771-3736
Mailing Address - Country:US
Mailing Address - Phone:508-336-0576
Mailing Address - Fax:508-916-3752
Practice Address - Street 1:1563 FALL RIVER AVE STE 1
Practice Address - Street 2:
Practice Address - City:SEEKONK
Practice Address - State:MA
Practice Address - Zip Code:02771-3736
Practice Address - Country:US
Practice Address - Phone:508-336-0576
Practice Address - Fax:508-916-3752
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-26
Last Update Date:2023-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAMA 4010152WC0802X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA2089824OtherFIRST HEALTH
MA0312541Medicaid
RI402686OtherBLUECHIP RI
MA152355OtherHARVARD PILGRIM
RI20568-1OtherBCBS RI
MA2200361OtherUNITED HEALTHCARE
MA3011179OtherAETNA
MA48668OtherDAVIS VISION
MAW16125OtherBCBS MA
MA03693OtherSPECTERA VISION PLAN
MAB211081001OtherCIGNA
MA2200361OtherUNITED HEALTHCARE
MA2089824OtherFIRST HEALTH