Provider Demographics
NPI:1861492001
Name:ORMANDO, JOHN E (OD)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:E
Last Name:ORMANDO
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 1:891 WESTMINSTER ST
Mailing Address - Street 2:
Mailing Address - City:PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02903-4020
Mailing Address - Country:US
Mailing Address - Phone:401-331-7850
Mailing Address - Fax:401-331-7850
Practice Address - Street 1:891 WESTMINSTER ST
Practice Address - Street 2:
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02903-4020
Practice Address - Country:US
Practice Address - Phone:401-331-7850
Practice Address - Fax:401-274-4750
Is Sole Proprietor?:No
Enumeration Date:2005-07-29
Last Update Date:2013-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIODTA-00492152WC0802X, 152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
No152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
22-00963OtherUNITED HEALTH CARE
4128425001OtherCIGNA
RI409772OtherBLUE CHIP
RI27970OtherNEIGHBORHOOD HEALTH PLAN
580001245OtherRAILROAD/METRA HEALTH
814844OtherMASHANTUCKET PEQUOT TRIBE
030510109OtherVISION SERVICE PLAN
RI0000025744OtherBLUE SHIELD
3314408OtherAETNA INSURANCE
4816730001OtherHEALTHNOW NY
RI9022669Medicaid
22-00963OtherUNITED HEALTH CARE
RI9022669Medicaid