Individual provider Active NPI

Armine Tahmassian, OD

  • Optometrist
  • East Providence, RI
National Provider Identifier
1801297494
Registry record updated Sep 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
ODTG00609 Issued in RI
Practice address
2757 Pawtucket Ave
East Providence, RI 02914-3347
Phone
(401) 434-5532
Fax
(401) 435-3504
NPI assigned
Sep 15, 2014
Last updated
Sep 15, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X ODTG00609 RI Primary

Addresses

Primary practice location

2757 Pawtucket Ave
East Providence, RI 02914-3347

Mailing address

2757 Pawtucket Ave
East Providence, RI 02914-3347
Phone (401) 434-5532

Other identifiers 1

IdentifierTypeStateIssuer
ODTG00609OtherRILICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
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
I20150407000765 RI Practitioner - Optometry 8527386317 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dr Lyn-Marie Behmke ODGroup PAC ID 9638277676, 3 clinicians

Practice addresses (Care Compare)

2757 Pawtucket Ave
East Providence, RI 02914-3347
Phone (401) 434-5532

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery21

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ODTG00609RIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Lyn-Marie Behmke OD Optometrist CurrentSince Sep 4, 2014 Accepting new patients

Locations

2757 Pawtucket Ave
East Providence, RI 02914
Phone (401) 434-5532

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1410739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410739200000",
    "number": "1801297494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2757 PAWTUCKET AVE",
            "city": "EAST PROVIDENCE",
            "state": "RI",
            "postal_code": "029143347",
            "telephone_number": "401-434-5532",
            "fax_number": "401-435-3504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2757 PAWTUCKET AVE",
            "city": "EAST PROVIDENCE",
            "state": "RI",
            "postal_code": "029143347",
            "telephone_number": "401-434-5532",
            "fax_number": "401-435-3504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAHMASSIAN",
        "first_name": "ARMINE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-15",
        "last_updated": "2014-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "RI",
            "license": "ODTG00609",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "ODTG00609",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Providence, RI

Sources for this page

Verify at the official NPI Registry.