KELLY M PEREIRA OD
NPI 1679095608
Optometrist in East Providence, RI

Q: What is Kelly Pereira's NPI number?

The NPI number for Kelly Pereira is 1679095608. It was assigned to this individual provider in the NPPES registry on July 11, 2017.

Q: What is Kelly Pereira's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Pereira was last updated on January 17, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 11, 2017PECOS EnrolledAccepts Medicare Assignment

89.53/100

CMS Quality Rating

450 VETERANS MEMORIAL PKWY, EAST PROVIDENCE, RI 02914(401) 431-1119(401) 431-1125 Get Directions Write a Review

NPPES record last updated: January 17, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 17, 2019, Jul 26, 2017, Jul 11, 2017 (3 updates tracked since 2017).

On this page

About Kelly M Pereira Od NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLY M PEREIRA OD (NPI 1679095608) is an individual optometrist in East Providence, Rhode Island, licensed in Rhode Island (ODTG00643) and active in the NPI registry since July 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1679095608

Entity TypeIndividualFemale

Primary Taxonomy152W00000X

Provider Legal NameKELLY M PEREIRACredential: OD

Location Address450 VETERANS MEMORIAL PKWYEast Providence, RI 02914-5300

Mailing Address450 Veterans Memorial PkwyEast Providence, RI 02914-5300 · (401) 431-1119 · Fax (401) 943-1324

Phone(401) 431-1119

Fax(401) 431-1125

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateJuly 11, 2017

Last NPPES UpdateJanuary 17, 20193 updates tracked since enumeration

✔ NPI 1679095608 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in RI · ODTG00643

Definition

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.

450 VETERANS MEMORIAL PKWY, East Providence, RI 02914

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kelly M Pereira Od is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8729351093

PECOS Enrollment IDI20170907003253

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Kelly Pereira reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Eye Consultants Of Rhode Island Ltd.

Same address

Ophthalmology

450 VETERANS MEMORIAL PKWY STE 504
East Providence, RI 02914

Reassigned Medicare billing, Rhode Island enrollment
3 clinicians in this Medicare group

NPI 1538673512 (401) 431-1119

Garden City Eyecare, Inc

4.5 mi

Optometrist

1150 RESERVOIR AVE, LL 5
Cranston, RI 02920

Reassigned Medicare billing, Rhode Island enrollment
6 clinicians in this Medicare group

NPI 1295856540 (401) 943-8151

20/20 Vision Care, Inc.

11 mi

Optometrist

375 METACOM AVE
Bristol, RI 02809

Reassigned Medicare billing, Rhode Island enrollment
8 clinicians in this Medicare group

NPI 1700991932 (401) 253-2020

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient complete exam of visual system 92014

An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.

154 services153 patients

Measurement of corneal curvature and depth of eye 92136

This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.

123 services67 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

79 services67 patients

Imaging of optic nerve 92133

Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).

49 services46 patients

Imaging of retina 92134

Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.

40 services39 patients

New patient complete exam of visual system 92004

A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.

21 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02914 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$134.17 typical visit price

range $58.57 – $177.03

Typical copayment $33.54 (range $14.64 – $44.25)

Most-billed visit code 99204

Established Patient

$72.93 typical visit price

range $18.92 – $144.38

Typical copayment $18.23 (range $4.73 – $36.09)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

89.53/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

100

Improvement Activities

Cost

65.13

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. WILLIAM TURTLE MD

Pediatrics

450 VETERANS MEMORIAL PKWY, BLDG. 10
EAST PROVIDENCE, RI 02914

Providence County (401) 438-6888

ERIN L SHARAF PA

Physician Assistant

450 VETERANS MEMORIAL PKWY, BUILDING 14
EAST PROVIDENCE, RI 02914

Providence County (401) 435-6625

ANN GARRIS NP

Nurse Practitioner

450 VETERANS MEMORIAL PKWY, BLDG. 4
EAST PROVIDENCE, RI 02914

Providence County (401) 435-3400

SARAH DOROTHY MOSLEY RD, LDN

Dietitian, Registered

450 VETERANS MEMORIAL PKWY, 8C
EAST PROVIDENCE, RI 02914

Providence County (401) 396-9331

RADIOLOGY ASSOCIATES INC

Radiology (Diagnostic Radiology)

450 VETERANS MEMORIAL PKWY, BUILDING 2
EAST PROVIDENCE, RI 02914

Providence County (401) 435-3041

DR. DAVID S FARRELL MD

Dermatology

450 VETERANS MEMORIAL PKWY, BLDG. 11 UNIT B
EAST PROVIDENCE, RI 02914

Providence County (401) 438-9150

KAREN MCGOLDRICK MD

Obstetrics & Gynecology

450 VETERANS MEMORIAL PKWY
EAST PROVIDENCE, RI 02914

Providence County (401) 434-7853

RASHMI S LICHT MD

Urology

450 VETERANS MEMORIAL PKWY, BUILDING 14
E PROVIDENCE, RI 02914

Providence County (401) 435-6600

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Pereira's NPI number?

The NPI number for Kelly Pereira is 1679095608. It was assigned to this individual provider in the NPPES registry on July 11, 2017.

Where is Kelly Pereira located?

Kelly Pereira practices at 450 Veterans Memorial Pkwy, East Providence, RI 02914. The listed phone number is (401) 431-1119.

What is Kelly Pereira's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Kelly Pereira enrolled in Medicare?

Yes. Kelly Pereira is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Kelly Pereira's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Pereira reassigns Medicare benefits to 3 organizations: Eye Consultants Of Rhode Island Ltd. (East Providence, RI), Garden City Eyecare, Inc (Cranston, RI) and 20/20 Vision Care, Inc. (Bristol, RI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kelly Pereira's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kelly Pereira was last updated on January 17, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.