DR. ALLEN JAMES NICOLETTI – Optometrist, NPI 1366197782

DR. ALLEN JAMES NICOLETTI is a healthcare provider. based in Providence, Rhode Island. specializing in OPTOMETRY. They hold a License No. 003319 (CT). The NPI Number for DR. ALLEN JAMES NICOLETTI is 1366197782

Main info

Male
Sole Proprietor
4 Years Of Experience
Name
DR. ALLEN JAMES NICOLETTI
NPI
1366197782
Phone
(401) 273-7100
Address
623 ATWELLS AVE
Enumeration Date
14 February 2022
Last Update Date
1 December 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5083735830
Graduation Year
2022 (4 years ago)
PAC ID
0840654877
Group Practice PAC ID
2365682713
Professional Enrollment ID
I20230911000105
Address ID
MA016081135WO10XXXSQXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:4State licenses:2Digital endpointsOther names

225 OPTOMETRY in RI

Provider Addresses for DR. ALLEN JAMES NICOLETTI

  • 623 ATWELLS AVE

    PROVIDENCE, RI 029097403

    Phone: (401) 273-7100

    Type: Location

  • 2 TWYFORD LN

    MANCHESTER, NJ 087596710

    Phone: (718) 715-2174

    Type: Mailing

  • 10 LINCOLN SQ

    WORCESTER, MA 016081135

    Phone: (508) 373-5830

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $24.

Total Amount is formed as General ($24) + Research ($0) + Ownership ($0) = $24.

Last reported payment date: 2024-11-01 • Largest payer in this snapshot: Dompe US, Inc. ($24).

Total Amount

$24

General + Research + Ownership

Payments

1

Total payment records

General Amount

$24

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-01

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Dompe US, Inc.$24
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-07-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230911000105IOptometryMATBD
I20240701000162IOptometryRITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 02909)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2365682713View full group profile
NameSpecialtyState
O P H T H A L M O L O G YMA
O P T O M E T R YMA
O P T O M E T R YMI
O P T O M E T R YMA
-MA
O P T O M E T R YMA
-MA
O P T O M E T R YMA
O P T O M E T R YMA
O P T O M E T R YMA

Reviews

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Frequently asked questions

Can I use this page to confirm DR. ALLEN JAMES NICOLETTI's NPI?
Yes. DR. ALLEN JAMES NICOLETTI is listed with NPI 1366197782 in the public NPI dataset.
Does the file indicate DR. ALLEN JAMES NICOLETTI is practicing under active NPI?
Directory data currently reports DR. ALLEN JAMES NICOLETTI as active.
What is DR. ALLEN JAMES NICOLETTI's specialty?
The listing groups DR. ALLEN JAMES NICOLETTI with Optometrist. Clinical services aligned with this taxonomy classification.
Does DR. ALLEN JAMES NICOLETTI list a practice location?
Patients near Providence, Rhode Island may find DR. ALLEN JAMES NICOLETTI in results; validate coverage separately.
How many locations tie to this NPI?
3 practice locations appear in the available data.

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