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Deactivated NPI 1679508519 Deactivated / Inactive NPI Male Practitioner

Dr. Stephen R Ide , 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. Stephen Ide has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 11, 2006
NPI Deactivation Date February 21, 2024
Total Practice Duration ~18 Years of Practice (2006 – 2024)

Professional Overview & Biography Verified Profile Summary

Dr. Stephen Ide, OD was a registered Optometrist practicing in Cranston, RI. Throughout an active medical career spanning 18 years, Dr. Ide provided care at the practice location at 1400 OAKLAWN AVE until profile deactivation on 2024-02-21.

Practice Location & Contact Primary Location

Practice Address

1400 Oaklawn Ave
Optometric Providers Of Rhode Island, Inc

Cranston, RI 029202643

Telephone 4014636696
Fax 4014635913
Associated Practice Facility / Clinic
🏢 Optometric Care Inc Facility NPI 1427007731

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
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License RI ODTA00398

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

2 Associated Practitioners
NPI 1144673096

Doctor of Optometry

NPI 1689626947

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 February 21, 2024

Record deactivated on February 21, 2024

NPI Profile Active September 04, 2007

NPI status registered as active in NPPES database

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Updated Practice Location September 04, 2007

Registered at 1400 OAKLAWN AVE, OPTOMETRIC PROVIDERS OF RHODE ISLAND, INC, CRANSTON, RI 029202643 (Tel: 4014636696)

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Updated Business Mailing Address September 04, 2007

Registered at 2921 ERIE BLVD EAST, SYRACUSE, NY 13224 (Tel: 3154457465)

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Provider Name / Credentials Updated September 04, 2007

Recorded as STEPHEN IDE, OD

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 04, 2007

Optometrist (License #ODTA00398 in RI)

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Initial NPI Registration & Enumeration July 11, 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: 1679508519
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 11, 2006
Last Update: September 04, 2007
Deactivation Date: February 21, 2024

Mailing Address

2921 Erie Blvd East

Syracuse, NY 13224

Phone: 3154457465

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

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