Klibanoff Eye Associates, LTD

Primary specialty

Corneal and Contact Management OptometristTaxonomy code 152WC0802X

License

ODTG00476 Issued in RI

Legal business name

KLIBANOFF EYE ASSOCIATES, LTD

Practice address

121 Broad St
Pawtucket, RI 02860-2053

Phone

(401) 723-3400

Fax

(401) 727-2326

NPI assigned

Jan 25, 2007

Organization subpart

No

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

Authorized official

Name

Dr. David Allen Klibanoff, ODNPI 1275501421

Title

President

Phone

(401) 723-3400

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in RI

Enrollment records 1

Locations

Practitioners 3

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

• Benjamin D Klibanoff, OD

  • Optometrist
  • Pawtucket, RI
  • NPI 1053611996
  Medicare reassignment Care Compare group NPD
• David Klibanoff

  • Optometrist
  • Pawtucket, RI
  • NPI 1275501421
  Medicare reassignment NPD Authorized official
• Mona Klibanoff, O.D.

  • Optometrist
  • Pawtucket, RI
  • NPI 1427364157
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274054400000",
    "number": "1467508556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 BROAD ST",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028602053",
            "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": "121 BROAD ST",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028602053",
            "telephone_number": "401-723-3400",
            "fax_number": "401-727-2326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KLIBANOFF EYE ASSOCIATES, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2010-05-17",
        "status": "A",
        "authorized_official_last_name": "KLIBANOFF",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "401-723-3400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "RI",
            "license": "ODTG00476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Kinnane, MSW
• Kathleen Kirchmeier-Kroessler, MD
• Shadi Kiriaki, M.D.
• Erika Klein, MD
• Klibanoff Eye Associates LTD
• Benjamin D Klibanoff, OD
• David Klibanoff
• Mona Klibanoff, O.D.
• Victoria Ann Knight, PARAMEDIC
• Knoah Ventures LLC

• Corneal and Contact Management Optometrist in Pawtucket, RI
• Providers in Pawtucket, RI by specialty
• Corneal and Contact Management Optometrist in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.