Organization Active NPI

Joseph a Boivin O.D., LTD

  • Optometrist
  • Tiverton, RI
National Provider Identifier
1376721381
Registry record updated Feb 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
JOSEPH A BOIVIN O.D., LTD
Practice address
1820 Main Rd
Tiverton, RI 02878-4625
Phone
(401) 624-6672
Fax
(401) 624-4769
NPI assigned
Feb 1, 2008
Last updated
Feb 5, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2026

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

Authorized official

Name
Joseph A Boivin, ODNPI 1174509921
Title
President
Phone
(401) 624-6672

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

1820 Main Rd
Tiverton, RI 02878-4625

Mailing address

1820 Main Rd
Tiverton, RI 02878-4625
Phone (401) 624-6672

Other identifiers 1

IdentifierTypeStateIssuer
9007778MedicaidRI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080414000050 RI Part B Supplier - Clinic/Group Practice 7214014315 Receives reassigned benefits from 1 practitioner
Practice locations: Tiverton, RI

National Provider Directory

National Provider Directory

Locations

1820 Main Rd
Tiverton, RI 02878
Phone (401) 624-6672

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1201824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770249600000",
    "number": "1376721381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1820 MAIN RD",
            "city": "TIVERTON",
            "state": "RI",
            "postal_code": "028784625",
            "telephone_number": "401-624-6672",
            "fax_number": "401-624-4769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 MAIN RD",
            "city": "TIVERTON",
            "state": "RI",
            "postal_code": "028784625",
            "telephone_number": "401-624-6672",
            "fax_number": "401-624-4769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH A BOIVIN O.D., LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-01",
        "last_updated": "2026-02-05",
        "certification_date": "2026-02-05",
        "status": "A",
        "authorized_official_last_name": "BOIVIN",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "401-624-6672",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9007778",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tiverton, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.