Individual provider Active NPI

Jeffrey David Ainley, O.D.

  • Optometrist
  • Warwick, RI
National Provider Identifier
1376519637
Registry record updated Dec 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
ODTG00536 Issued in RI
Practice address
1050 Centerville Rd
Warwick, RI 02886-4209
Phone
(401) 828-3200
NPI assigned
Feb 27, 2006
Last updated
Dec 12, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X ODTG00536 RI Primary

Addresses

Primary practice location

1050 Centerville Rd
Warwick, RI 02886-4209

Mailing address

1050 Centerville Rd
Warwick, RI 02886-4209
Phone (401) 828-3200

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20060116000220 RI Practitioner - Optometry 6204850464 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
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 CareGroup PAC ID 9032123211, 2 clinicians

Practice addresses (Care Compare)

1050 Centerville Rd
Warwick, RI 02886-4209
Phone (401) 828-3200

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ODTG00536RIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Ocean State Eye Care Optometrist CurrentSince Nov 1, 2005 Accepting new patients

Locations

1050 Centerville Rd
Warwick, RI 02886
Phone (401) 821-6238

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1140998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481500800000",
    "number": "1376519637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 CENTERVILLE RD",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028864209",
            "telephone_number": "401-828-3200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 CENTERVILLE RD",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028864209",
            "telephone_number": "401-828-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AINLEY",
        "first_name": "JEFFREY",
        "middle_name": "DAVID",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-27",
        "last_updated": "2016-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "RI",
            "license": "ODTG00536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warwick, RI

Sources for this page

Verify at the official NPI Registry.