Provider Demographics
NPI:1851492482
Name:CHARLES M COLLINS MD LTD
Entity Type:Organization
Organization Name:CHARLES M COLLINS MD LTD
Other - Org Name:EYE CARE FOR RHODE ISLAND
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:NERRY
Authorized Official - Middle Name:
Authorized Official - Last Name:TERPENING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:401-847-1383
Mailing Address - Street 1:939 W MAIN RD
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:RI
Mailing Address - Zip Code:02842-6390
Mailing Address - Country:US
Mailing Address - Phone:401-847-1383
Mailing Address - Fax:401-847-1384
Practice Address - Street 1:939 W MAIN RD
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:RI
Practice Address - Zip Code:02842-6390
Practice Address - Country:US
Practice Address - Phone:401-847-1383
Practice Address - Fax:401-847-1384
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-26
Last Update Date:2023-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Multi-Specialty
No152W00000XEye and Vision Services ProvidersOptometristGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0017102OtherMEDICARE
RICC41177Medicaid
RI9022363Medicaid
RI9004227Medicaid
RI709006179OtherMEDICARE
RI189023591Medicare ID - Type Unspecified
RID73692Medicare UPIN
RI709006179OtherMEDICARE
MA0017102OtherMEDICARE
RIV06157Medicare UPIN