Individual provider Active NPI

Jad Osmanski, O.D.

  • Optometrist
  • North Providence, RI
National Provider Identifier
1447402821
Registry record updated Apr 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
ODTG00529 Issued in RI
Practice address
1971 Mineral Spring Ave
North Providence, RI 02904-3723
Phone
(401) 232-0941
Fax
(401) 231-1454
NPI assigned
Oct 16, 2008
Last updated
Apr 3, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4874 MA
Optometrist 152W00000X ODTG00529 RI Primary

Addresses

Primary practice location

1971 Mineral Spring Ave
North Providence, RI 02904-3723

Mailing address

1971 Mineral Spring Ave
North Providence, RI 02904-3723
Phone (401) 232-0941

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, RI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20111121000850 MA Practitioner - Optometry 3870775471 Reassigns benefits to 2 organizations
I20130806000279 RI Practitioner - Optometry 3870775471 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern New England Eye IncGroup PAC ID 3173765088, 2 clinicians

Practice addresses (Care Compare)

1971 Mineral Spring Ave
North Providence, RI 02904-3723
Phone (401) 232-0941

231 New Boston Rd
Jad Osmanski OD
Fall River, MA 02720-5563
Phone (508) 673-6262

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4874MAMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Southern New England Eye, Inc Optometrist CurrentSince May 1, 2013 Accepting new patients
Joseph F. Osmanski, OD, Inc Optometrist PastSince May 12, 2013 Accepting new patients

Locations

231 New Boston Rd
Fall River, MA 02720
Phone (508) 562-7067

1971 Mineral Spring Ave
North Providence, RI 02904
Phone (401) 232-0941

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1224115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396483200000",
    "number": "1447402821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1971 MINERAL SPRING AVE",
            "city": "NORTH PROVIDENCE",
            "state": "RI",
            "postal_code": "029043723",
            "telephone_number": "401-232-0941",
            "fax_number": "401-231-1454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1971 MINERAL SPRING AVE",
            "city": "NORTH PROVIDENCE",
            "state": "RI",
            "postal_code": "029043723",
            "telephone_number": "401-232-0941",
            "fax_number": "401-231-1454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSMANSKI",
        "first_name": "JAD",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-10-16",
        "last_updated": "2014-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "4874",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "RI",
            "license": "ODTG00529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Providence, RI

Sources for this page

Verify at the official NPI Registry.