Jillian Libby, OD
Individual provider Active NPI Optometrist · Pawtucket, RI
NPI 1083463699 · NPPES record last updated Jun 24, 2025
Key facts
- NPI
- 1083463699
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- ODTG00759 (RI)
- Practice address
- 2 Dexter St
Pawtucket, RI 02860-2996 - Phone
- (401) 723-9540
- NPI assigned
- May 15, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Aeg Rhode Island Professional PC
Practice addresses (Care Compare)
2 Dexter St
Pawtucket, RI 02860-2996
Phone (401) 723-9540
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in RI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241016002980 | RI | Practitioner - Optometry | 5092247965 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aeg Rhode Island Professional, PC | Optometrist | Current |
Accepting new patients |
Locations
111 E 4th St
Ste 440
Alton, IL 62002
2 Dexter St
Pawtucket, RI 02860
Phone (401) 723-9540
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | ODTG00759 | RI | Yes |
Addresses
Primary practice location
2 Dexter St
Pawtucket, RI 02860-2996
Mailing address
111 E 4TH St Ste 440
Alton, IL 62002-6206
Other names
- Dr. Jillian Scarpanito
Other providers in Pawtucket, RI
- Kelly Levesque
- Ross Levine
- Lewis Hearing Aid Center Inc
- LGLN Cardiology Consultants,LLC
- Jason Li
- Peter J Liberto
- Liberty Kenyon Counseling, LLC
- Stacey Peckham Lievense
- Lifes Canopy LLC
- Lifespan Corp Lfspn Dsi Dba Hospice of Ri
All providers in Pawtucket, RI · Optometrist in Rhode Island
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 24, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.