Individual provider Active NPI

Jesse Richman, MD

  • Ophthalmology Physician
  • Providence, RI
National Provider Identifier
1346402872
Registry record updated Apr 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
LP01360 Issued in RI
Practice address
593 Eddy St
Providence, RI 02903-4923
Phone
(401) 444-8450
Fax
(401) 444-5088
NPI assigned
Jun 26, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 10, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X LP01360 RI Primary

Addresses

Primary practice location

593 Eddy St
Providence, RI 02903-4923

Mailing address

215 W Church Rd
Ste 102
King of Prussia, PA 19406-3209
Phone (610) 337-1580

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110805000476 PA Practitioner - Ophthalmology 8921277013 Reassigns benefits to 2 organizations
I20120709000097 NJ Practitioner - Ophthalmology 8921277013 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Jefferson Medical College of Thomas Jefferson University, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Omni Eye Specialists P aGroup PAC ID 0547150062, 45 clinicians
Wills Eye Ophthalmology Clinic, IncGroup PAC ID 9133025166, 146 clinicians

Practice addresses (Care Compare)

485 Route 1 S
BLDG a
Iselin, NJ 08830-3009
Phone (732) 750-0400

840 Walnut St
Philadelphia, PA 19107-5109
Phone (215) 928-3041

Merit-based Incentive Payment System (MIPS)

Final score
88.91 of 100Reported as group
Quality
87.14
Promoting interoperability
92
Improvement activities
40
Cost
78.17

Merit-based Incentive Payment System (MIPS)

Final score
87.34 of 100Reported as group
Quality
80.85
Promoting interoperability
100
Improvement activities
40
Cost
76.95

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery861

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
LP01360RIMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Omni Eye Specialists P a Ophthalmology CurrentSince Nov 1, 2018 Accepting new patients
Wills Eye Ophthalmology Clinic, Inc Ophthalmology CurrentSince Jul 1, 2011 Accepting new patients
Delaware Valley Vision Associates Group Practice, LLC Ophthalmology CurrentSince Jul 1, 2012 Accepting new patients
Erie Retinal Surgery, Inc. Ophthalmology Past Accepting new patients
Intouch Med Supply PastSince Apr 16, 2023 Accepting new patients

Locations

4423 Route 130 S
Burlington, NJ 08016
Phone (609) 386-0202

1000 Atlantic Ave
Ste 109
Camden, NJ 08104
Phone (856) 365-1500

1820 Chapel Ave W
Ste 100
Cherry Hill, NJ 08002

1800 Chapel Ave W
Ste 100
Cherry Hill, NJ 08002
Phone (856) 910-9983

130 Gaither Dr
Ste 160
Mount Laurel, NJ 08054
Phone (609) 722-7000

218 State Rt 17 N
Rochelle Park, NJ 07662
Phone (201) 368-4200

415 Woodbury Glassboro Rd
Sewell, NJ 08080
Phone (856) 582-1288

405 Hurffville Crosskeys Rd
Ste 210
Sewell, NJ 08080
Phone (856) 488-6832

900 Route 168
Ste E5
Turnersville, NJ 08012
Phone (856) 227-0720

2020 Sullivan Trl
Easton, PA 18040
Phone (610) 258-6666

1018 W 9th Ave
Ste 100
King of Prussia, PA 19406
Phone (610) 337-1580

200 Mall Blvd
Kng of Prussa, PA 19406
Phone (610) 337-1580

840 Walnut St
Ste 1110
Philadelphia, PA 19107
Phone (215) 440-3160

840 Walnut St
Ste 1230
Philadelphia, PA 19107
Phone (215) 440-3160

840 Walnut St
Ste 1130
Philadelphia, PA 19107
Phone (215) 928-3190

840 Walnut St
Ste 920
Philadelphia, PA 19107
Phone (215) 928-3180

900 Walnut St
Philadelphia, PA 19107
Phone (215) 503-8080

100 E Lehigh Ave
Ste 201
Philadelphia, PA 19125
Phone (215) 427-6370

965 Baltimore Pike
Ste 6
Springfield, PA 19064
Phone (610) 328-7500

744 Lancaster Ave
Wayne, PA 19087
Phone (215) 244-7400

Interoperability endpoints

  • Direct secure messaging: jesse.richman.p1@direct.omnieyeservices.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 5

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": "1214438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491782400000",
    "number": "1346402872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 W CHURCH RD",
            "address_2": "STE 102",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194063209",
            "telephone_number": "610-337-1580",
            "fax_number": "610-337-2133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "593 EDDY ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029034923",
            "telephone_number": "401-444-8450",
            "fax_number": "401-444-5088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHMAN",
        "first_name": "JESSE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-26",
        "last_updated": "2017-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "RI",
            "license": "LP01360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Providence, RI

Sources for this page

Verify at the official NPI Registry.