The Eyeglass Store Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

ODTG00494 Issued in RI

Legal business name

THE EYEGLASS STORE INC

Doing business as

Family Eye Care Services

Practice address

2 Dexter St
Pawtucket, RI 02860-2991

Phone

(401) 723-9540

Fax

(401) 725-6583

NPI assigned

Feb 9, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jonathan D Kaplan, OD

Title

Optometrist

Phone

(401) 723-9540

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Family Eye Care Services Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kenneth A Kaplan

  • Optometrist
  • Pawtucket, RI
  • NPI 1073628921
  NPD (past)

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208390400000",
    "number": "1437290889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 DEXTER ST",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028602991",
            "telephone_number": "401-723-9540",
            "fax_number": "401-725-6583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 DEXTER ST",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028602991",
            "telephone_number": "401-723-9540",
            "fax_number": "401-725-6583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE EYEGLASS STORE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-09",
        "last_updated": "2008-04-17",
        "status": "A",
        "authorized_official_last_name": "KAPLAN",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "401-723-9540",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "RI",
            "license": "ODTG00494",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "7959-2",
            "state": "RI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "FE00663",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Eye Care Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• 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 Apr 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.