Mona Klibanoff, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

ODTG00553 Issued in RI

Practice address

55 Broad St
Pawtucket, RI 02860-2023

Phone

(401) 723-3400

Fax

(401) 727-2326

NPI assigned

Aug 18, 2010

Last updated

Feb 8, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Mona Aoude Former name

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

New England College of Optometry, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Klibanoff Eye Associates, LTDGroup PAC ID 6002993045, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Klibanoff Eye Associates, LTD

  • Corneal and Contact Management Optometrist
  • Pawtucket, RI
  • NPI 1467508556
  Medicare reassignment Care Compare group NPD
• Klibanoff Eye Associates LTD

  • Optometrist
  • Pawtucket, RI
  • NPI 1528373743
  NPD

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

{
    "created_epoch": "1282089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518048000000",
    "number": "1427364157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 BROAD ST",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028602023",
            "telephone_number": "401-723-3400",
            "fax_number": "401-727-2326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 BROAD ST",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028602023",
            "telephone_number": "401-723-3400",
            "fax_number": "401-727-2326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLIBANOFF",
        "first_name": "MONA",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-18",
        "last_updated": "2018-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "4817",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "RI",
            "license": "ODTG00553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MONA",
            "last_name": "AOUDE",
            "credential": "OD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Erika Klein, MD
• Klibanoff Eye Associates LTD
• Klibanoff Eye Associates, LTD
• Benjamin D Klibanoff, OD
• David Klibanoff
• Victoria Ann Knight, PARAMEDIC
• Knoah Ventures LLC
• Donald Paul Koch, LICSW
• John Kokolski, M.ED, MBA
• Tolga N Kokturk, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2018; 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.