ELIZABETH WASSENAAR (NPI# 1972025187) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972025187 |
| Entity Type | Individual |
| Full Name | ELIZABETH WASSENAAR |
| Credential | DOCTOR OF OPTOMETRY |
| Practice Address |
150 E Manning St Providence RI 02906 |
| Mailing Address |
246 Power St Apt 1 Providence RI 02906-3834 |
| Practice Telephone | 4012722020 |
| Practice Fax Number | 4014215979 |
| Mailing Telephone | 3123017446 |
| Enumeration Date | 2017-07-10 |
| Last Update Date | 2019-01-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | ODTG00654 | RI | Eye and Vision Services Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1601 Brenner Ave, Salisbury, NC 281442515 | 7046383825 | |
| 385 Mendon Rd, Woonsocket, RI 028952477 | 4017624473 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992970875 | Elizabeth Wassenaar | Psychiatry & Neurology | 8190 E 1st Ave, Denver, CO 80230-7211 | 2008-04-23 |
| Street Address |
150 E MANNING ST |
| City | PROVIDENCE |
| State | RI |
| Zip Code | 02906 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033109111 | Jason Edward Karo | Ophthalmology | 150 E Manning St, Providence, RI 02906-5109 | 2005-10-28 |
| 1891108940 | Jane Caty Cook | Ophthalmology | 150 E Manning St, Providence, RI 02906 | 2014-06-06 |
| 1225276678 | Sarah Anis | Ophthalmology | 150 E Manning St, Providence, RI 02906-5109 | 2009-01-22 |
| 1285830323 | Pranjal Thakuria | Ophthalmology | 150 E Manning St, Providence, RI 02906-5109 | 2007-06-25 |
| 1760528962 | Ophthalmology Inc | Ophthalmology | 150 E Manning St, Providence, RI 02906-5109 | 2007-01-29 |
| 1366559114 | Gaurav Gupta | Ophthalmology | 150 E Manning St, Providence, RI 02906-5109 | 2006-08-25 |
| 1952372815 | Christopher Jackson Newton | Ophthalmology | 150 E Manning St, Providence, RI 02906-5109 | 2006-01-30 |
| 1255317020 | Joseph L Dowling | Ophthalmology | 150 E Manning St, Providence, RI 02906-5109 | 2005-12-22 |
| 1548246382 | Robert L Bahr | Ophthalmology | 150 E Manning St, Providence, RI 02906-5109 | 2005-12-22 |
| 1861478620 | Lori B Boivin | Optometrist | 150 E Manning St, Providence, RI 02906-5109 | 2005-12-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285245175 | Birdsong Traditional Medicine, LLC | Acupuncturist | 148 Waterman St. Ground Level, Providence, RI 02906 | 2020-08-13 |
| 1881218071 | Madison Pomerantz | Psychiatry & Neurology | 345 Blackstone Boulevard, Box G-bh, Providence, RI 02906 | 2020-06-03 |
| 1316453855 | Ellen Van Ingen Darling | Psychologist | 285 Governor St Ste 250, Providence, RI 02906 | 2017-12-20 |
| 1275063919 | Marissa Martz | Psychiatry & Neurology | 345 Blackstone Blvd., Providence, RI 02906 | 2017-06-15 |
| 1235663220 | Alena Haltzman | Counselor | 223 Summit Ave, Providence, RI 02906 | 2017-04-17 |
| 1669823399 | Kathryn Fleming-ives LLC | Psychiatry & Neurology | 355 Hope St Unit 1, Providence, RI 02906 | 2016-06-23 |
| 1134573389 | Sarah E. Kramer | Psychiatry & Neurology | Butler Hospital, Adult Psychiatry Residency, 345 Blackstone Blvd, Providence, RI 02906 | 2016-04-13 |
| 1538534201 | Laura Anne Buss | Social Worker | 55 Hope St., Providence, RI 02906 | 2015-12-07 |
| 1700289360 | Tinatin Surguladze | Counselor | 205 Waterman St Suite 106, Providence, RI 02906 | 2014-09-26 |
| 1467851519 | Jamila Allouane | Social Worker | 120 Wayland Avenue Suite 2, Providence, RI 02906 | 2014-08-14 |
| Find all providers in zip 02906 | ||||
| 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 |
|---|---|---|---|---|
| 1396251740 | Mandalay Optical Labs, LLC | Optometrist | 905 Westminster St, Providence, RI 02903-4020 | 2017-12-21 |
| 1427464510 | Kriti Bhagat | Optometrist | 100 Highland Ave Ste 304, Providence, RI 02906-2753 | 2014-07-09 |
| 1073959151 | East Side Vision Care Inc | Optometrist | 213 Thayer St, Providence, RI 02906-1210 | 2013-05-16 |
| 1528299245 | South Valley Eyecare Center, Inc. | Optometrist | 276 Springcreek Pkwy, Providence, UT 84332 | 2009-07-29 |
| 1588750194 | Leslie Kliethermes | Optometrist | 70 Providence Pl, Providence, RI 02903-1747 | 2006-10-04 |
| 1801981691 | James Lawrence Norton | Optometrist | 740 North Main Street, Providence, RI 02904 | 2006-10-04 |
| 1417067950 | David Alan Smith | Optometrist | 276 N. Springcreek Pkwy, Providence, UT 84332-9707 | 2006-08-30 |
| 1720095953 | John D Corrow | Optometrist | 780 North Main St., Providence, RI 02904 | 2006-08-01 |
| 1982637153 | Earle Ullman Scharff IIi | Optometrist | 55 Dorrance St, Providence, RI 02903-2221 | 2006-07-09 |
| 1205826997 | Paul A De Cesare | Optometrist | 354 Broadway, Providence, RI 02909 | 2005-10-25 |
| Find all providers in PROVIDENCE | ||||
| City | PROVIDENCE |
| Zip Code | 02906 |
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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.