Organization Active NPI

Jahrling Ocular Prosthetics Inc.

  • Ocularist
  • Providence, RI
National Provider Identifier
1669032538
Registry record updated Jun 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OcularistTaxonomy code 156FX1700X
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.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 13, 2019

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.NPI 1639621733
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)CodeLicenseStatePrimary
OcularistGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
JP00706MedicaidRI

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.

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.

Verify at the official NPI Registry.