Provider Demographics
NPI:1477618841
Name:JOSEPH V GIRGENTI OD INC
Entity Type:Organization
Organization Name:JOSEPH V GIRGENTI OD INC
Other - Org Name:NORTH SCITUATE FAMILY EYE CARE
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:VICTOR
Authorized Official - Last Name:GIRGENTI
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:401-934-2800
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:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-26
Last Update Date:2023-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIODTA00432152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI9007947Medicaid
TX2200088OtherUNITED HEALTH CARE OF N.E
RI78308OtherRI FEDERAL BLUE CROSS
RI201880OtherBLUE CHIP
TX461497OtherAETNA US HEALTHCARE
RI007006348OtherPACE ORGANIZATION OF RI
CT2200088OtherOXFORD HEALTH PLANS
CA025600778OtherVISION SERVICE PLAN
GA2200088OtherUNITED HEALTH CARE
RI78308OtherRI BLUE CROSS BLUE SHIELD
RI2874Medicaid
RI78308OtherRI PLAN 65
GA410048380OtherRAILROAD RETIREE