Active NPI
Jahrling Ocular Prosthetics Inc.
- Ocularist
- Providence, RI
National Provider Identifier
1669032538
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ocularist
- Legal business name
- JAHRLING OCULAR PROSTHETICS INC.
- Practice address
- 120 Dudley Street
Suite 202
Providence, RI 02905-2429 - Phone
- (401) 454-4168
- Fax
- (401) 454-4781
- NPI assigned
- Jun 13, 2019
- Organization subpart
- Yes
- Parent organization
- JAHRLING OCULAR PROSTHETICS INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Eric R Jahrling, B.C.O.
- Title
- President
- Phone
- (617) 523-2280
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ocularist | 156FX1700X | Primary |
Addresses
Primary practice location
120 Dudley Street
Suite 202
Providence, RI 02905-2429
Mailing address
50 Staniford St 8TH FLR
Boston, MA 02114-2562
Phone (617) 523-2280
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| JP00706 | Medicaid | RI |
National Provider Directory
National Provider Directory- Part of
- Jahrling Ocular Prosthetics Inc
Locations
1 Garfield Cir
Ste 1
Burlington, MA 01803
Phone (617) 523-2280
120 Dudley St
Ste 202
Providence, RI 02905
Phone (401) 454-4168
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Ocularist
- Burlington, MA
- NPI 1639621733
-
- Ocularist
- Burlington, MA
- NPI 1356893457
-
- Ocularist
- Burlington, MA
- NPI 1225580327
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560384000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1560384000000",
"number": "1669032538",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 STANIFORD ST 8TH FLR",
"city": "BOSTON",
"state": "MA",
"postal_code": "021142562",
"telephone_number": "617-523-2280",
"fax_number": "617-523-8602"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 DUDLEY STREET",
"address_2": "SUITE 202",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029052429",
"telephone_number": "401-454-4168",
"fax_number": "401-454-4781"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JAHRLING OCULAR PROSTHETICS INC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "JAHRLING OCULAR PROSTHETICS INC.",
"enumeration_date": "2019-06-13",
"last_updated": "2019-06-13",
"status": "A",
"authorized_official_last_name": "JAHRLING",
"authorized_official_first_name": "ERIC",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "617-523-2280",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "B.C.O."
},
"taxonomies": [
{
"code": "156FX1700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Technician/Technologist, Ocularist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "JP00706",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Providence, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.