Individual provider Active NPI

Jodi D Pukl, OD

  • Optometrist
  • Cranston, RI
National Provider Identifier
1962490540
Registry record updated Feb 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
ODTG00513 Issued in RI
Practice address
725 Reservoir Ave Ste 201
Cranston, RI 02910-4451
Phone
(401) 943-3082
Fax
(401) 464-4146
NPI assigned
Oct 8, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X ODTG00513 RI Primary

Addresses

Primary practice location

725 Reservoir Ave Ste 201
Cranston, RI 02910-4451

Mailing address

725 Reservoir Ave Ste 201
Cranston, RI 02910-4451
Phone (401) 943-3082

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
I20080103000286 RI Practitioner - Optometry 2365438439 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clarity Eye Care, LTD.Group PAC ID 6709114044, 2 clinicians

Practice addresses (Care Compare)

725 Reservoir Ave
Suite 201
Cranston, RI 02910-4451
Phone (401) 943-3082

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ODTG00513RIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Harvey D. Rappoport PC Optometrist CurrentSince Aug 9, 2020 Accepting new patients
Clarity Eye Care, LTD. Optometrist CurrentSince Jul 25, 2019 Accepting new patients
Associated Eye Physicians & Surgeons of N.J., P.a. Past Accepting new patients
DRS. Savoy & Siegel LLC Optometrist PastSince Apr 28, 1992 Accepting new patients
The Eye Care Center of New Jersey,PA Past Accepting new patients

Locations

725 Reservoir Ave
Ste 201
Cranston, RI 02910
Phone (401) 943-3082

1145 Reservoir Ave
Ste 117
Cranston, RI 02920
Phone (401) 943-3082

Organizations & group practices 5

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": "1128729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770595200000",
    "number": "1962490540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 RESERVOIR AVE STE 201",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029104451",
            "telephone_number": "401-943-3082",
            "fax_number": "401-464-4146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 RESERVOIR AVE STE 201",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029104451",
            "telephone_number": "401-943-3082",
            "fax_number": "401-464-4146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUKL",
        "first_name": "JODI",
        "middle_name": "D",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-08",
        "last_updated": "2026-02-09",
        "certification_date": "2026-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "RI",
            "license": "ODTG00513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cranston, RI

Sources for this page

Verify at the official NPI Registry.