Holly Jane Stavinski, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

ODTG00586 Issued in RI

Practice address

2345 Mendon Rd
Woonsocket, RI 02895-6187

Phone

(401) 765-5430

NPI assigned

Jul 23, 2007

Last updated

Sep 30, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Holly Jane Dwan Former name

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.

Enrollment records 1

Specialty

Optometry

Education

New England College of Optometry, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Atlantic Family Eye Care IncGroup PAC ID 9335277540, 5 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Atlantic Family Eye Care Inc

  • Optometrist
  • Woonsocket, RI
  • NPI 1184769010
  Medicare reassignment Care Compare group NPD
• Vision Associates Inc

  • Optometrist
  • Woonsocket, RI
  • NPI 1336405422
  NPD (past)

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

{
    "created_epoch": "1185148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790726400000",
    "number": "1245430800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2345 MENDON RD",
            "city": "WOONSOCKET",
            "state": "RI",
            "postal_code": "028956187",
            "telephone_number": "401-765-5430",
            "fax_number": "401-331-7850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2345 MENDON RD",
            "city": "WOONSOCKET",
            "state": "RI",
            "postal_code": "028956187",
            "telephone_number": "401-765-5430"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "891 Westminster St",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029034020",
            "country_code": "US",
            "telephone_number": "401-331-7850",
            "fax_number": "401-274-4739",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1153 Warwick Ave",
            "address_purpose": "LOCATION",
            "city": "Warwick",
            "state": "RI",
            "postal_code": "028883515",
            "country_code": "US",
            "telephone_number": "401-732-2020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STAVINSKI",
        "first_name": "HOLLY",
        "middle_name": "JANE",
        "name_prefix": "Mrs.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-23",
        "last_updated": "2026-09-30",
        "certification_date": "2026-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "RI",
            "license": "ODTG00586",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "RI",
            "license": "CODTG00586",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1245430800",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HOLLY",
            "last_name": "DWAN",
            "middle_name": "JANE",
            "credential": "OD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sarah-Lynn St. Vincent
• Boris Stabnikov, DMD
• Carolyn Stark, PT
• Patricia Jean Stark, NPP
• Kathleen M Staudinger, MD
• Alexander Steacy, DPT
• Charles Stebbins, MA, COUNSELOR
• Jeremy Eric Steinberg, P.A.
• Step Ri, PC
• Sarah Elizabeth Sterns, DO

• Optometrist in Woonsocket, RI
• Providers in Woonsocket, 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 30, 2026; 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.