Noelle Johnston

Primary specialty

OptometristTaxonomy code 152W00000X

License

CODTG00712 Issued in RI

Practice address

12 Smith Ave
Greenville, RI 02828-1767

Phone

(401) 949-1616

Fax

(401) 942-0952

NPI assigned

Jun 10, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Vision Associates IncGroup PAC ID 5294890695, 5 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 and National Provider Directory roles.

• Vision Associates Inc

  • Optometrist
  • Greenville, RI
  • NPI 1346296209
  Medicare reassignment Care Compare group NPD
• Vision Associates

  • Optometrist
  • Greenville, RI
  • NPI 1033380415
  NPD (past)
• Vision Associates Inc

  • Optometrist
  • Woonsocket, RI
  • NPI 1336405422
  NPD (past)

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

{
    "created_epoch": "1623283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742256000000",
    "number": "1447827142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 SMITH AVE",
            "city": "GREENVILLE",
            "state": "RI",
            "postal_code": "028281767",
            "telephone_number": "401-949-1616",
            "fax_number": "401-942-0952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 SMITH AVE",
            "city": "GREENVILLE",
            "state": "RI",
            "postal_code": "028281767",
            "telephone_number": "401-949-1616",
            "fax_number": "401-942-0952"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "148 Social St",
            "address_purpose": "LOCATION",
            "city": "Woonsocket",
            "state": "RI",
            "postal_code": "028953199",
            "country_code": "US",
            "telephone_number": "401-949-1616",
            "fax_number": "401-942-0952",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1265 Reservoir Ave",
            "address_purpose": "LOCATION",
            "city": "Cranston",
            "state": "RI",
            "postal_code": "029206060",
            "country_code": "US",
            "telephone_number": "401-949-1616",
            "fax_number": "401-942-0952",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSTON",
        "first_name": "NOELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-10",
        "last_updated": "2025-03-18",
        "certification_date": "2025-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "RI",
            "license": "CODTG00712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bianca Jacques
• Mureen Angella James
• Mackenzie Jo-Ane Jaquith, MA, LBA, BCBA
• Jean Resnevic, DMD, LLC
• David Jennings, O.D.
• Julia Kach
• Amanda Keegan, PT
• Ellen A Kellner, MSSW
• Rayne Kennelly, NPP
• Gary G King, DO

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2025; 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.