Jessica Cherenza, OD
Individual provider Active NPI Optometrist · Westerly, RI
NPI 1407425804 · NPPES record last updated Jun 21, 2021
Key facts
- NPI
- 1407425804
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- CODTG00713 (RI)
- Practice address
- 17 Wells St Ste 101
Westerly, RI 02891-2923 - Phone
- (401) 348-2020
- NPI assigned
- Jun 21, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- New England College of Optometry, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Coastal Eye Associates Inc
Practice addresses (Care Compare)
17 Wells St
Suite 101
Westerly, RI 02891-2923
Phone (401) 348-2020
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 |
|---|---|---|---|---|
| I20210714001745 | RI | Practitioner - Optometry | 6406258334 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CODTG00713 | RI | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coastal Eye Associates Inc | Optometrist | Current |
Accepting new patients |
Locations
17 Wells St
Ste 101
Westerly, RI 02891
Phone (401) 348-2020
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | CODTG00713 | RI | Yes |
Addresses
Primary practice location
17 Wells St Ste 101
Westerly, RI 02891-2923
Mailing address
37 Rock Ridge Rd
Westerly, RI 02891-3704
Phone (401) 575-1820
Other providers in Westerly, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 21, 2021. 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.