David Jennings, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

ODTA00508 Issued in RI

Practice address

12 Smith Ave
Greenville, RI 02828-1767

Phone

(401) 949-1616

Fax

(401) 942-0952

NPI assigned

Jun 13, 2005

Last updated

Oct 15, 2024By the provider in NPPES

Sex

Male

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 5

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

Pennsylvania College of Optometry, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Vision Associates IncGroup PAC ID 5294890695, 5 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

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.

• Vision Associates Inc

  • Optometrist
  • Greenville, RI
  • NPI 1346296209
  Medicare reassignment Care Compare group NPD
• Jennings Eyecare Inc.

  • Optometrist
  • Seekonk, MA
  • NPI 1568613784
  Authorized official Same address or phone
• Independence Eye Associates, PC

  • Ophthalmology Physician
  • Fall River, MA
  • NPI 1568089415
  NPD
• Mark G. Blasbalg OD Inc

  • Optometrist
  • Coventry, RI
  • NPI 1902963457
  NPD (past)
• Prytula Eye Associates Inc

  dba Acuity Vision & Eyewear Center

  • Optometrist
  • Coventry, RI
  • NPI 1790293850
  NPD (past)
• Vision Associates

  dba Ronald J. Hall O.D.

  • Optometrist
  • Greenville, RI
  • NPI 1033380415
  NPD (past)
• 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": "1118620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728950400000",
    "number": "1376547851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 CARONIA ST",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029204333",
            "telephone_number": "401-450-5263",
            "fax_number": "401-942-1783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 SMITH AVE",
            "city": "GREENVILLE",
            "state": "RI",
            "postal_code": "028281767",
            "telephone_number": "401-949-1616",
            "fax_number": "401-942-0952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENNINGS",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-13",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "RI",
            "license": "ODTA00508",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "4390",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "AA15972",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TPA OPTOMETRY LICENSE #",
            "identifier": "4390",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0700215",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS MA",
            "identifier": "W16381",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS PROVIDER #",
            "identifier": "469916",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robin L Jackman, P.T.A
• Michelle Jackson, NP
• Mureen Angella James
• Mackenzie Jo-Ane Jaquith, MA, LBA, BCBA
• Jean Resnevic, DMD, LLC
• Noelle Johnston
• Julia Kach
• Amanda Keegan, PT
• Ellen A Kellner, MSSW
• Rayne Kennelly, NPP

• Optometrist in Greenville, RI
• Providers in Greenville, RI by specialty
• Optometrist in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2024; 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.