Individual provider Active NPI

Maria Jablonski, O.D.

  • Optometrist
  • Cranston, RI
National Provider Identifier
1932276508
Registry record updated Mar 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
ODTA0480 Issued in RI
Practice address
110 Atwood Avenue
Cranston, RI 02920
Phone
(401) 943-4770
Fax
(401) 490-0909
NPI assigned
Nov 29, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X ODTA0480 RI Primary

Addresses

Primary practice location

110 Atwood Avenue
Cranston, RI 02920

Mailing address

110 Atwood Avenue
Cranston, RI 02920
Phone (401) 943-4770

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
I20090922000489 RI Practitioner - Optometry 6507912201 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2000
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

110 Atwood Ave
Cranston, RI 02920-4130
Phone (401) 943-4770

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery56

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ODTA0480RIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Maria Florio Jablonski, O.D., LLC Optometrist CurrentSince Aug 2, 2009 Accepting new patients

Locations

1265 Reservoir Ave
Cranston, RI 02920
Phone (401) 464-6406

110 Atwood Ave
Cranston, RI 02920
Phone (401) 943-4770

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267660800000",
    "number": "1932276508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 ATWOOD AVENUE",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "02920",
            "telephone_number": "401-943-4770",
            "fax_number": "401-490-0909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 ATWOOD AVENUE",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "02920",
            "telephone_number": "401-943-4770",
            "fax_number": "401-490-0909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JABLONSKI",
        "first_name": "MARIA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-29",
        "last_updated": "2010-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "RI",
            "license": "ODTA0480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cranston, RI

Sources for this page

Verify at the official NPI Registry.