Individual provider Active NPI

Jane Orenstein, OD

  • Optometrist
  • Whitinsville, MA
National Provider Identifier
1639138696
Registry record updated Mar 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2700 Issued in MA
Practice address
999 Providence Rd
Whitinsville, MA 01588
Phone
(508) 234-6681
Fax
(508) 234-6507
NPI assigned
Mar 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2700 MA Primary

Addresses

Primary practice location

999 Providence Rd
Whitinsville, MA 01588

Mailing address

999 Providence Rd
Whitinsville, MA 01588
Phone (508) 234-6681

Other identifiers 5

IdentifierTypeStateIssuer
756012OtherTUFTS HEALTH PLAN
W15621OtherMABLUE CROSS OF MASS
6000000020OtherMAHARVARD PILGRIM HEALTHCAR
0344109MedicaidMA
W20190OtherMABLUE CROSS OF MASS

Other names 1

  • Jane Fradkin Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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

Enrollment IDStateProvider typePAC IDDetails
I20080305000283 MA Practitioner - Optometry 0143305847 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Russell & Jane Fradkin LLC Optometrist CurrentSince Mar 17, 2013 Accepting new patients
Eye-Konic Vision Associates, PLLC Optometrist PastSince Mar 17, 2013 Accepting new patients

Locations

999 Providence Rd
Whitinsville, MA 01588
Phone (508) 234-6681

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1142812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237852800000",
    "number": "1639138696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "999 PROVIDENCE RD",
            "city": "WHITINSVILLE",
            "state": "MA",
            "postal_code": "01588",
            "telephone_number": "508-234-6681",
            "fax_number": "508-234-6507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "999 PROVIDENCE RD",
            "city": "WHITINSVILLE",
            "state": "MA",
            "postal_code": "01588",
            "telephone_number": "508-234-6681",
            "fax_number": "508-234-6507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORENSTEIN",
        "first_name": "JANE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-20",
        "last_updated": "2009-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "2700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN",
            "identifier": "756012",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF MASS",
            "identifier": "W15621",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM HEALTHCAR",
            "identifier": "6000000020",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0344109",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF MASS",
            "identifier": "W20190",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANE",
            "last_name": "FRADKIN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Whitinsville, MA

Sources for this page

Verify at the official NPI Registry.