Richard L. Jasiak, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

MA3157 Issued in MA

Practice address

18 Granite St
Haverhill, MA 01832-5531

Phone

(978) 374-2010

Fax

(978) 469-9329

NPI assigned

Feb 24, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MA

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

Specialty

Optometry

Education

Pennsylvania College of Optometry, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Richard L. Jasiak O.D.,P.C.

  • Eyewear Supplier
  • Haverhill, MA
  • NPI 1609044361
  NPD (past) Authorized official

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

{
    "created_epoch": "1140739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426550400000",
    "number": "1942276464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 GRANITE ST",
            "city": "HAVERHILL",
            "state": "MA",
            "postal_code": "018325531",
            "telephone_number": "978-374-2010",
            "fax_number": "978-469-9329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 GRANITE ST",
            "city": "HAVERHILL",
            "state": "MA",
            "postal_code": "018325531",
            "telephone_number": "978-374-2010",
            "fax_number": "978-469-9329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JASIAK",
        "first_name": "RICHARD",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-24",
        "last_updated": "2015-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "MA3157",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0353698",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maria Jackson, LICSW
• Dina Jamil, DMD
• Jana M. Sokol DMD, PC
• Susan Jennifer Janeczek, LMT
• Brianna Jeannette Janes
• Jean L Beninato DMD, LLC
• Catherine Jean, LICSW
• Lisa Marie Jean, MA
• Allison Nicole Jenkins, LMHC
• Sarah J Jensen, NP

• Optometrist in Haverhill, MA
• Providers in Haverhill, MA by specialty
• Optometrist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.