Jessica Mary Besen, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

ODTA00558 Issued in RI

Practice address

615 Greenwich Ave Ste 10
Warwick, RI 02886-1882

Phone

(401) 244-5186

Fax

(401) 396-2393

NPI assigned

Jul 17, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Dr. Jessica Mary Beauregard Former name

Medicare fee-for-service enrollment

Enrolled in MA, RI2 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

Specialty

Optometry

Education

New England College of Optometry, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eye Health Associates IncGroup PAC ID 0244482883, 26 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Eye Health Associates Inc

  • Ophthalmology Physician
  • Dartmouth, MA
  • NPI 1952653131

  Optometrist

  Medicare reassignment Care Compare group NPD
• Koch Eye Associates LLP

  • Ophthalmology Physician
  • Warwick, RI
  • NPI 1194881961

  Optometrist

  Medicare reassignment NPD
• Koch Eye Associates, LLP

  • Eyewear Supplier
  • Woonsocket, RI
  • NPI 1720539240

  Optometrist

  NPD
• Eye Health Associates Inc

  • Eyewear Supplier
  • Fairhaven, MA
  • NPI 1699029892
  NPD
• Koch Eye Associates LLP

  • Eyewear Supplier
  • Johnston, RI
  • NPI 1568534246

  Optometrist

  NPD (past)

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

{
    "created_epoch": "1405555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663718400000",
    "number": "1154738433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 GREENWICH AVE",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028861897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 GREENWICH AVE STE 10",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028861882",
            "telephone_number": "401-244-5186",
            "fax_number": "401-396-2393"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "51 State Rd",
            "address_purpose": "LOCATION",
            "city": "Dartmouth",
            "state": "MA",
            "postal_code": "027473319",
            "country_code": "US",
            "telephone_number": "508-994-1400",
            "fax_number": "508-910-2212",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BESEN",
        "first_name": "JESSICA",
        "middle_name": "MARY",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-17",
        "last_updated": "2022-09-21",
        "certification_date": "2022-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "5030",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "33532",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "RI",
            "license": "ODTA00558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "BEAUREGARD",
            "middle_name": "MARY",
            "prefix": "DR.",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Madison Rose Berman
• Megan L Berndt, LCSW
• Melissa Jean Bernier, LCDP
• Valerie Bernier, FNP-C
• Anna Simone Bersin, MFT
• Andre P. Bessette, PH.D.
• Scott D. Bessette, LMHC
• Judith Sharon Bessoff, ANP-C
• Frank A Bestwick III, MASSAGE THERAPIST
• Bethany Christian Services

• Optometrist in Warwick, RI
• Providers in Warwick, RI by specialty
• Optometrist in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.