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Deactivated NPI 1588684575 Deactivated / Inactive NPI Male Practitioner

Dr. David R Deruosi , OD

Optometrist • Cranston, RI

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. David Deruosi has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 20, 2006
NPI Deactivation Date March 16, 2018
Total Practice Duration ~12 Years of Practice (2006 – 2018)

Professional Overview & Biography Verified Profile Summary

Dr. David Deruosi, OD was a registered Optometrist practicing in Cranston, RI. Throughout an active medical career spanning 12 years, Dr. Deruosi provided care at the practice location at 1150 RESERVOIR AVE until profile deactivation on 2018-03-16.

Historical Medicare Part B clinical services included removal of cataract with insertion of lens, established patient complete exam of visual system. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

1150 Reservoir Ave
Ste Ll5

Cranston, RI 029206068

Telephone 4019438151
Fax 4019431324
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Cranston, RI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 26.3 Yrs
State Avg: 23.3 Yrs
Regional Practice Density
20 Specialists

Practicing in Cranston, RI (280 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
17.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2017)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
66984 Removal of cataract with insertion of lens
1,259 12 $4.00 $1.38
92014 Established patient complete exam of visual system
28 28 $145.00 $122.25

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License RI ODTG00408

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners
Jessica Medina

Optometrist

NPI 1144559188
NPI 1235205485

Doctor of Optometry

NPI 1235206400

Doctor of Optometry

NPI 1366599441

Doctor of Optometry

NPI 1477620656

Doctor of Optometry

NPI 1679181010

Doctor of Optometry

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated March 16, 2018

Record deactivated on March 16, 2018

NPI Profile Active September 06, 2013

NPI status registered as active in NPPES database

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Updated Practice Location September 06, 2013

Registered at 1150 RESERVOIR AVE, STE LL5, CRANSTON, RI 029206068 (Tel: 4019438151)

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Updated Business Mailing Address September 06, 2013

Registered at 1150 RESERVOIR AVE, STE LL5, CRANSTON, RI 029206068 (Tel: 4019438151)

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Provider Name / Credentials Updated September 06, 2013

Recorded as DAVID DERUOSI, O.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 06, 2013

Optometrist (License #ODTG00408 in RI)

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Initial NPI Registration & Enumeration July 20, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1588684575
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 20, 2006
Last Update: September 06, 2013
Deactivation Date: March 16, 2018

Mailing Address

1150 Reservoir Ave, Ste Ll5

Cranston, RI 029206068

Phone: 4019438151

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.