Organization Active NPI

Maria Florio Jablonski, O.D., LLC

  • Optometrist
  • Cranston, RI
National Provider Identifier
1407099690
Registry record updated Aug 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
ODTA0480 Issued in RI
Legal business name
MARIA FLORIO JABLONSKI, O.D., LLC
Practice address
110 Atwood Ave
Cranston, RI 02920-4130
Phone
(401) 943-4770
Fax
(401) 490-0909
NPI assigned
Apr 17, 2009
Last updated
Aug 29, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2012

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

Authorized official

Name
Dr. Maria F. Jablonski, O.D.NPI 1932276508
Title
President
Phone
(401) 943-4770

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 ODTA0480 RI Primary

Addresses

Primary practice location

110 Atwood Ave
Cranston, RI 02920-4130

Mailing address

110 Atwood Ave
Cranston, RI 02920-4130
Phone (401) 943-4770

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090928000695 RI Part B Supplier - Clinic/Group Practice 6507912839 Receives reassigned benefits from 1 practitioner
Practice locations: Cranston, RI

National Provider Directory

National Provider Directory

Locations

110 Atwood Ave
Cranston, RI 02920
Phone (401) 301-1429

Practitioners & affiliated clinicians

Practitioners 2

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": "1239926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346198400000",
    "number": "1407099690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 ATWOOD AVE",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029204130",
            "telephone_number": "401-943-4770",
            "fax_number": "401-490-0909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 ATWOOD AVE",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029204130",
            "telephone_number": "401-943-4770",
            "fax_number": "401-490-0909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIA FLORIO JABLONSKI, O.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-17",
        "last_updated": "2012-08-29",
        "status": "A",
        "authorized_official_last_name": "JABLONSKI",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "401-943-4770",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "RI",
            "license": "ODTA0480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cranston, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2012; 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.