Active NPI
Maroun Adib Komari
- Optician
- Cranston, RI
National Provider Identifier
1235356908
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- OP 00334
- Practice address
- 1265 Reservoir Ave
Cranston, RI 02920-6060 - Phone
- (401) 336-3937
- Fax
- (401) 336-3939
- NPI assigned
- Apr 20, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | OP 00334 | RI | Primary |
| Optician | 156FX1800X | 5703 | MA |
Addresses
Primary practice location
1265 Reservoir Ave
Cranston, RI 02920-6060
Mailing address
1265 Reservoir Ave
Cranston, RI 02920-6060
Phone (401) 336-3937
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5703 | MA | MD | Optometrist |
| OP 00334 | RI | MD | Optician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1353888000000",
"number": "1235356908",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1265 RESERVOIR AVE",
"city": "CRANSTON",
"state": "RI",
"postal_code": "029206060",
"telephone_number": "401-336-3937",
"fax_number": "401-336-3939"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1265 RESERVOIR AVE",
"city": "CRANSTON",
"state": "RI",
"postal_code": "029206060",
"telephone_number": "401-336-3937",
"fax_number": "401-336-3939"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOMARI",
"first_name": "MAROUN",
"middle_name": "ADIB",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-20",
"last_updated": "2012-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "RI",
"license": "OP 00334",
"primary": true
},
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "MA",
"license": "5703",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cranston, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.