DAVID KLIBANOFF (NPI# 1275501421) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275501421 |
| Entity Type | Individual |
| Full Name | DAVID KLIBANOFF |
| Practice Address |
121 Broad St Pawtucket RI 02860-2053 |
| Practice Telephone | 4017233400 |
| Practice Fax Number | 4017272326 |
| Mailing Telephone | 4017233400 |
| Enumeration Date | 2006-03-12 |
| Last Update Date | 2008-05-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | ODTG476 | RI | Eye and Vision Services Providers |
| Street Address |
121 BROAD ST |
| City | PAWTUCKET |
| State | RI |
| Zip Code | 02860-2053 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528373743 | Klibanoff Eye Associates Ltd | Optometrist | 121 Broad St, Pawtucket, RI 02860-2053 | 2010-08-12 |
| 1467508556 | Klibanoff Eye Associates, Ltd | Optometrist | 121 Broad St, Pawtucket, RI 02860-2053 | 2007-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972096923 | Lmb Medical LLC | Internal Medicine | 127 School St, Pawtucket, RI 02860 | 2018-06-13 |
| 1215420435 | Tyla Jackson | Behavior Technician | 70 Wood St Apt 22, Pawtucket, RI 02860 | 2018-06-12 |
| 1376048637 | Michael A Iadevaia | Family Medicine | 111 Brewster St Fl 3, Pawtucket, RI 02860 | 2018-03-28 |
| 1730690488 | Anthony Edwin Ramicone | Physician Assistant | 407 East Ave Ste 120, Pawtucket, RI 02860 | 2017-10-21 |
| 1669991352 | Kathleen K. Kroessler, Md; Neurology & Acupuncture, Inc. PC | Clinic/Center | 407 East Ave; Suite 110, Pawtucket, RI 02860 | 2017-09-13 |
| 1841716230 | Ri Alternative Academy Management, LLC | Local Education Agency (LEA) | 249 Roosevelt Avenue, Pawtucket, RI 02860 | 2017-08-17 |
| 1396265724 | Hannah R Stoops | Family Medicine | 111 Brewster St Fcc A, Pawtucket, RI 02860 | 2017-06-27 |
| 1427578400 | Shaun Michael Flynn | Family Medicine | 111 Brewster St, Fcc A, Pawtucket, RI 02860 | 2017-06-21 |
| 1073051843 | Laura Jane Amaral | Counselor | 750 East Ave Unit 1e, Pawtucket, RI 02860 | 2017-02-01 |
| 1063862027 | Stephanie Shoppell | Counselor | 105 Bacon Street, Pawtucket, RI 02860 | 2016-06-20 |
| Find all providers in zip 02860 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427364157 | Mona Klibanoff | Optometrist | 55 Broad St, Pawtucket, RI 02860-2023 | 2010-08-18 |
| 1629172366 | Robert Alexander Macbeth | Optometrist | 172 Armistice Blvd, Pawtucket, RI 02860-3219 | 2006-09-12 |
| 1023077898 | Jonathan D Kaplan | Optometrist | 2 Dexter St, Pawtucket, RI 02860-2926 | 2006-03-21 |
| 1396730453 | Peter J Liberto | Optometrist | 145 Newport Ave, Pawtucket, RI 02861-4107 | 2005-09-15 |
| 1265938179 | Modern Eyes LLC | Optometrist | 145 Newport Ave, Pawtucket, RI 02861 | 2018-04-01 |
| 1790177400 | Anne F Kiernan | Optometrist | 2 Dexter St, Pawtucket, RI 02860-2996 | 2015-03-04 |
| 1114271053 | Glenn S. Prescod, M.d., M.p.h., Inc. | Optometrist | 333 School St, Suite 301, Pawtucket, RI 02860-5334 | 2012-10-30 |
| 1053611996 | Benjamin D Klibanoff | Optometrist | 55 Broad St, Pawtucket, RI 02860-2023 | 2010-10-26 |
| 1528373743 | Klibanoff Eye Associates Ltd | Optometrist | 121 Broad St, Pawtucket, RI 02860-2053 | 2010-08-12 |
| 1437290889 | The Eyeglass Store Inc | Optometrist | 2 Dexter St, Pawtucket, RI 02860-2991 | 2007-02-09 |
| Find all providers in PAWTUCKET | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.