Individual provider Active NPI

Robin A Jewell, OD

  • Optometrist
  • Marlborough, MA
National Provider Identifier
1154393023
Registry record updated Oct 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3470 Issued in MA
Practice address
601 Donald Lynch Blvd
Marlborough, MA 01752-4730
Phone
(508) 481-8279
Fax
(508) 303-0845
NPI assigned
Feb 6, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3470 MA Primary

Addresses

Primary practice location

601 Donald Lynch Blvd
Marlborough, MA 01752-4730

Mailing address

70 Providence PL
Providence, RI 02903-1747
Phone (508) 476-3710

Other practice location 1

70 Providence Pl
Providence, RI 02903-1747
Phone (401) 243-0685

Other identifiers 1

IdentifierTypeStateIssuer
0369691MedicaidMA

Other names 1

  • Dr. Robin A Jewell Professional name

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
I20110712000113 RI Practitioner - Optometry 8426226713 Reassigns benefits to 1 organization
I20120419000496 MA Practitioner - Optometry 8426226713 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

601 Donald Lynch Blvd
Marlborough, MA 01752-4730

70 Providence PL
Providence, RI 02903-1747
Phone (401) 243-0685

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

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.

NPI Registry JSON

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

{
    "created_epoch": "1139184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759276800000",
    "number": "1154393023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 PROVIDENCE PL",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029031747",
            "telephone_number": "508-476-3710",
            "fax_number": "508-476-1750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 DONALD LYNCH BLVD",
            "city": "MARLBOROUGH",
            "state": "MA",
            "postal_code": "017524730",
            "telephone_number": "508-481-8279",
            "fax_number": "508-303-0845"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "70 Providence Pl",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029031747",
            "country_code": "US",
            "telephone_number": "401-243-0685",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JEWELL",
        "first_name": "ROBIN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-06",
        "last_updated": "2025-10-01",
        "certification_date": "2025-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "3470",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0369691",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROBIN",
            "last_name": "JEWELL",
            "middle_name": "A",
            "prefix": "DR.",
            "credential": "OD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Marlborough, MA

Sources for this page

Verify at the official NPI Registry.