- Medicare in Johnston, RI

  1. Home
is a medicare enrolled "Technician/technologist - Optician" provider in Johnston, Rhode Island. Their current practice location is 1395 Atwood Ave, Ste 103, Johnston, Rhode Island. You can reach out to their office (for appointments etc.) via phone at (401) 943-4330.

is licensed to practice in Rhode Island (license number 113) and it also participates in the medicare program. is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1487855029.

Contact Information

1395 Atwood Ave, Ste 103,
Johnston, RI 02919
(401) 943-4330
(401) 943-4331

Map and Direction




Healthcare Provider's Profile

Full Name
TypeFacility
SpecialityTechnician/technologist - Optician
Location1395 Atwood Ave, Johnston, Rhode Island
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1487855029
  • Provider Enumeration Date: 05/30/2007
  • Last Update Date: 10/31/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 7719105741
  • Enrollment ID: O20140904000394

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1487855029NPI-NPPES
2109127OtherUHPRI
9009775MedicaidRI
29564OtherRINHPRI
SH91632MedicaidRI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist (* (Not Available))Secondary
156FX1800XTechnician/technologist - Optician OP00054 (Rhode Island)Secondary
156FX1800XTechnician/technologist - Optician 113 (Rhode Island)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. acts as a billing entity for following providers:
Provider NameJay P Kile
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1811987746
PECOS PAC ID: 6901795897
Enrollment ID: I20040310001232
Provider NameDennis S Forman
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1871695460
PECOS PAC ID: 0042282188
Enrollment ID: I20040810000589
Provider NameMark J Libassi
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1548540438
PECOS PAC ID: 8325266356
Enrollment ID: I20140904000557

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address

1395 Atwood Ave, Ste 103,
Johnston, RI 02919

Ph: (401) 943-4330
1395 Atwood Ave, Ste 103,
Johnston, RI 02919

Ph: (401) 943-4330

Reviews and Comments



Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.