NPIMap

Organization Active NPI

Southern New England Eye, Inc

  • Optometrist
  • North Providence, RI
National Provider Identifier
1821438524
Registry record updated Aug 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
ODTG00529 Issued in RI
Legal business name
SOUTHERN NEW ENGLAND EYE, INC
Practice address
1971 Mineral Spring Ave
North Providence, RI 02904-3723
Phone
(401) 232-0941
Fax
(401) 231-1454
NPI assigned
Jun 27, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2014

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

Authorized official

Name
Dr. Jad Osmanski, O.D.NPI 1447402821
Title
Ceo
Phone
(401) 232-0941

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X ODTG00529 RI Primary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X 4874 MA

Addresses

Primary practice location

1971 Mineral Spring Ave
North Providence, RI 02904-3723

Mailing address

1971 Mineral Spring Ave
North Providence, RI 02904-3723
Phone (401) 232-0941

Other identifiers 1

IdentifierTypeStateIssuer
SO96776MedicaidRI

Other names 1

  • Jad Osmanski, OD Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, RI3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20130806000144 MA Part B Supplier - Clinic/Group Practice 3173765088 Receives reassigned benefits from 1 practitioner
Practice locations: Fall River, MA; Plymouth, MA
O20130806000237 RI Part B Supplier - Clinic/Group Practice 3173765088 Receives reassigned benefits from 2 practitioners
Practice locations: Chepachet, RI; North Providence, RI
O20141031001927 RI DME Supplier - Physician - General Practice 3173765088 Practice locations: North Providence, RI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1372291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408579200000",
    "number": "1821438524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1971 MINERAL SPRING AVE",
            "city": "NORTH PROVIDENCE",
            "state": "RI",
            "postal_code": "029043723",
            "telephone_number": "401-232-0941",
            "fax_number": "401-231-1454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1971 MINERAL SPRING AVE",
            "city": "NORTH PROVIDENCE",
            "state": "RI",
            "postal_code": "029043723",
            "telephone_number": "401-232-0941",
            "fax_number": "401-231-1454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN NEW ENGLAND EYE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-27",
        "last_updated": "2014-08-21",
        "status": "A",
        "authorized_official_last_name": "OSMANSKI",
        "authorized_official_first_name": "JAD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "401-232-0941",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "RI",
            "license": "ODTG00529",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "MA",
            "license": "4874",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SO96776",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jad Osmanski, OD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Providence, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.