Individual provider Active NPI

Jonathan D Kaplan, O.D.

  • Optometrist
  • Pawtucket, RI
National Provider Identifier
1023077898
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
ODTG00494 Issued in RI
Practice address
2 Dexter St
Pawtucket, RI 02860-2926
Phone
(401) 723-9540
Fax
(401) 725-6583
NPI assigned
Mar 21, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 1

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

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aeg Rhode Island Professional PC 9 clinicians

Practice addresses (Care Compare)

2 Dexter St
Pawtucket, RI 02860-2996
Phone (401) 723-9540

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery16

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
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.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20100324000291 RI Practitioner - Optometry 8628103579 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Aeg Rhode Island Professional, PC Optometrist CurrentSince Jan 20, 2022 Accepting new patients

Locations

2 Dexter St
Pawtucket, RI 02860
Phone (401) 723-9540

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X ODTG00494 RI Primary

Addresses

NPPES NPI Registry

Primary practice location

2 Dexter St
Pawtucket, RI 02860-2926

Mailing address

2 Dexter St
Pawtucket, RI 02860-2926
Phone (401) 723-9540

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 13, 2026.

{
    "created_epoch": "1142899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1023077898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 DEXTER ST",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028602926",
            "telephone_number": "401-723-9540",
            "fax_number": "401-725-6583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 DEXTER ST",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028602926",
            "telephone_number": "401-723-9540",
            "fax_number": "401-725-6583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAPLAN",
        "first_name": "JONATHAN",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-21",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "RI",
            "license": "ODTG00494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pawtucket, RI

Sources for this page

Verify at the official NPI Registry.