Aeg Rhode Island Professional, PC
Organization Active NPI Optometrist · Pawtucket, RI
NPI 1730898263 · NPPES record last updated Apr 4, 2025
Key facts
- NPI
- 1730898263
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- Legal business name
- AEG RHODE ISLAND PROFESSIONAL, PC
- Practice address
- 2 Dexter St
Pawtucket, RI 02860-2996 - Phone
- (401) 723-9540
- Fax
- (314) 741-4947
- NPI assigned
- Nov 23, 2022
- Organization subpart
- No
Authorized official
- Name
- Jonathan Kaplan, OD
- Title
- Owner
- Phone
- (618) 462-9818
Practitioners 15
-
Carl D Corrow, O.D.
-
John D Corrow, O.D.
-
Jonathan D Kaplan, O.D.
-
Jillian Libby, OD
-
Chelsea Moran, OD
-
Scott Wayne Sylvia, OD/MBA
-
Abdoulaye Wann, OD
-
Jared Christopher Cox, O.D.
-
Monserrat Arias, OD
-
Michael Robert Martinez, O.D.
-
James Lawrence Norton, O.D.
-
David A Vito, O.D.
-
Russell Auclair, O.D.
-
Matthew David Doyle, O.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in RI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230303000711 | RI | Part B Supplier - Clinic/Group Practice | 3870966369 |
Receives reassigned benefits from 10 practitioners Practice locations: Providence, RI; Pawtucket, RI |
National Provider Directory
Locations
2 Dexter St
Ste 3
Pawtucket, RI 02860
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | Yes |
Addresses
Primary practice location
2 Dexter St
Pawtucket, RI 02860-2996
Mailing address
111 E 4TH St Ste 440
Alton, IL 62002-6206
Phone (618) 462-9818
Other providers in Pawtucket, RI
- Oludola Adesina
- Falashade F Adewuyi
- Mayumi R. Adriano
- Abena Adu Gyamfi
- Adviniacare Pawtucket Pleasant Rehab Center LLC
- Affinity Physicians LLC.
- Agarcia & Co Therapeutic Consulting
- Cintia Agues
- Jamie Aguilar
- Patricia Aguilar
All providers in Pawtucket, RI · Optometrist in Rhode Island
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 4, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.