Jeffrey David Ainley, O.D.
Individual provider Active NPI Optometrist · Warwick, RI
NPI 1376519637 · NPPES record last updated Dec 12, 2016
Key facts
- NPI
- 1376519637
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- ODTG00536 (RI)
- Practice address
- 1050 Centerville Rd
Warwick, RI 02886-4209 - Phone
- (401) 828-3200
- NPI assigned
- Feb 27, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- New England College of Optometry, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ocean State Eye Care
Practice addresses (Care Compare)
1050 Centerville Rd
Warwick, RI 02886-4209
Phone (401) 828-3200
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in RI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060116000220 | RI | Practitioner - Optometry | 6204850464 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ocean State Eye Care | Optometrist | Current |
Accepting new patients |
Locations
1050 Centerville Rd
Warwick, RI 02886
Phone (401) 821-6238
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | ODTG00536 | RI | Yes |
Addresses
Primary practice location
1050 Centerville Rd
Warwick, RI 02886-4209
Mailing address
1050 Centerville Rd
Warwick, RI 02886-4209
Phone (401) 828-3200
Other providers in Warwick, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 12, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.