Individual provider Active NPI

Jared James Scaramuzzi, O.D.

  • Optometrist
  • Holden, MA
National Provider Identifier
1003298506
Registry record updated Jan 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT7134 Issued in MA
Practice address
1355 Main St
Holden, MA 01520-1060
Phone
(508) 829-6731
Fax
(508) 829-6732
NPI assigned
Jun 22, 2015
Last updated
Jan 22, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X ODTG00619 RI
Optometrist 152W00000X OPT7134 MA Primary

Addresses

Primary practice location

1355 Main St
Holden, MA 01520-1060

Mailing address

1355 Main St
Holden, MA 01520-1060
Phone (508) 829-6731

Other practice location 1

999 Providence Rd
Whitinsville, MA 01588-2123
Phone (508) 234-6681

Other identifiers 1

IdentifierTypeStateIssuer
1003298506MedicaidRI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI, MA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160127000086 RI Practitioner - Optometry 6608179551 Reassigns benefits to 2 organizations
I20250404001415 MA Practitioner - Optometry 6608179551 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1355 Main St
Holden, MA 01520-1060
Phone (508) 829-6731

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ODTG00619RIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Smithfield Eye & Optical LLC Optometrist CurrentSince Jan 27, 2021 Accepting new patients
Holden Eye Care, L.L.C. Optometrist CurrentSince Feb 10, 2025 Accepting new patients
Eye-Konic Vision Associates, PLLC Optometrist CurrentSince Feb 10, 2025 Accepting new patients
Giulio G Diamante MD Inc Optometrist CurrentSince Oct 30, 2023 Accepting new patients
Russell & Jane Fradkin LLC Optometrist PastSince Mar 17, 2013 Accepting new patients

Locations

1355 Main St
Holden, MA 01520
Phone (508) 720-1600

999 Providence Rd
Whitinsville, MA 01588
Phone (508) 234-6681

600 Putnam Pike
Ste 3
Greenville, RI 02828
Phone (401) 949-7300

1277 Hartford Ave
Johnston, RI 02919
Phone (401) 521-3603

295 S Main St
Providence, RI 02903
Phone (401) 831-2015

891 Westminster St
Providence, RI 02903
Phone (401) 331-7850

Interoperability endpoints

  • Direct secure messaging: jscaramuzzi@ekva.intellechartdirect.net

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1434931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769040000000",
    "number": "1003298506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1355 MAIN ST",
            "city": "HOLDEN",
            "state": "MA",
            "postal_code": "015201060",
            "telephone_number": "508-829-6731",
            "fax_number": "508-829-6732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1355 MAIN ST",
            "city": "HOLDEN",
            "state": "MA",
            "postal_code": "015201060",
            "telephone_number": "508-829-6731",
            "fax_number": "508-829-6732"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "999 Providence Rd",
            "address_purpose": "LOCATION",
            "city": "Whitinsville",
            "state": "MA",
            "postal_code": "015882123",
            "country_code": "US",
            "telephone_number": "508-234-6681",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCARAMUZZI",
        "first_name": "JARED",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-22",
        "last_updated": "2026-01-22",
        "certification_date": "2026-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "RI",
            "license": "ODTG00619",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "OPT7134",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1003298506",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Holden, MA

Sources for this page

Verify at the official NPI Registry.