Jacob R Hettinger (NPI# 1518318898, PAC ID# 6406120427) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1518318898 |
| PAC ID by PECOS | 6406120427 |
| Professional Enrollment ID | I20170914001922 |
| Full Name | Jacob R Hettinger |
| Organization Legal Name | WESTMINSTER EYECARE ASSOCIATES INC |
| Address |
891 Westminster St Providence RI 02903-4020 |
| Phone Number | 4013317850161 |
| Gender | M |
| Medical School | UNIVERSITY OF MASSACHUSETTS MEDICAL SCHOOL |
| Graduation Year | 2016 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 6305804907 |
| Number of Group Practice Members | 11 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 891 Westminster St, Providence, RI 02903-4020 | 4013317850161 | WESTMINSTER EYECARE ASSOCIATES INC |
| Organization Legal Name | WESTMINSTER EYECARE ASSOCIATES INC |
| Physicians | 12 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Theresa J Colonna | Optometry | Westminster Eyecare Associates Inc | 891 Westminster St, Providence, RI 02903-4020 |
| Leanna A Olennikov | Optometry | Westminster Eyecare Associates Inc | 891 Westminster St, Providence, RI 02903-4020 |
| Sarah J Guarascio | Optometry | Westminster Eyecare Associates Inc | 891 Westminster St, Providence, RI 02903-4020 |
| Alerino M Iacobbo | Optometry | Westminster Eyecare Associates Inc | 891 Westminster St, Providence, RI 02903-4020 |
| John E Ormando | Optometry | Westminster Eyecare Associates Inc | 891 Westminster St, Providence, RI 02903-4020 |
| Kayla M Rose | Optometry | Westminster Eyecare Associates Inc | 891 Westminster St, Providence, RI 02903-4020 |
| Withney Milford Korley | Optometry | Westminster Eyecare Associates Inc | 891 Westminster St, Providence, RI 02903-4020 |
| Jodi D Pukl | Optometry | Westminster Eyecare Associates Inc | 891 Westminster St, Providence, RI 02903-4020 |
| Amy Lee Rayla | Optometry | Westminster Eyecare Associates Inc | 891 Westminster St, Providence, RI 02903-4020 |
| Alexandra Elizabeth Sexton | Optometry | Westminster Eyecare Associates Inc | 891 Westminster St, Providence, RI 02903-4020 |
| Street Address |
891 WESTMINSTER ST |
| City | PROVIDENCE |
| State | RI |
| Zip | 02903-4020 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Theresa J Colonna | Optometry | Westminster Eyecare Associates Inc | 891 Westminster St, Providence, RI 02903-4020 |
| Leanna A Olennikov | Optometry | Westminster Eyecare Associates Inc | 891 Westminster St, Providence, RI 02903-4020 |
| Sarah J Guarascio | Optometry | Westminster Eyecare Associates Inc | 891 Westminster St, Providence, RI 02903-4020 |
| Alerino M Iacobbo | Optometry | Westminster Eyecare Associates Inc | 891 Westminster St, Providence, RI 02903-4020 |
| John E Ormando | Optometry | Westminster Eyecare Associates Inc | 891 Westminster St, Providence, RI 02903-4020 |
| Kayla M Rose | Optometry | Westminster Eyecare Associates Inc | 891 Westminster St, Providence, RI 02903-4020 |
| Withney Milford Korley | Optometry | Westminster Eyecare Associates Inc | 891 Westminster St, Providence, RI 02903-4020 |
| Jodi D Pukl | Optometry | Westminster Eyecare Associates Inc | 891 Westminster St, Providence, RI 02903-4020 |
| Amy Lee Rayla | Optometry | Westminster Eyecare Associates Inc | 891 Westminster St, Providence, RI 02903-4020 |
| Alexandra Elizabeth Sexton | Optometry | Westminster Eyecare Associates Inc | 891 Westminster St, Providence, RI 02903-4020 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jenny R Donahue | Physical Therapy | Episcopal Housing Foundation of Rhode Island | 289 N Main St, Providence, RI 02903-1223 |
| Paige Elizabeth Caffrey | Occupational Therapy | Fox Rehab of Ri PC | 10 Dorrance St, Suite 700, Providence, RI 02903-2014 |
| Marcy E Bernstein | General Surgery | Vohra Wound Physicians of Fl LLC | 10 Dorrance St, Suite 700, Providence, RI 02903-2014 |
| Sharon Ann Gapasin | Qualified Speech Language Pathologist | Fox Rehab of Ri PC | 10 Dorrance St, Suite 700, Providence, RI 02903-2014 |
| Michael David Bertoncini | Physical Therapy | Fox Rehab of Ri PC | 10 Dorrance St, Suite 700, Providence, RI 02903-2014 |
| Jonathan Sorensen | Physical Therapy | Fox Rehab of Ri PC | 10 Dorrance St, Suite 700, Providence, RI 02903-2014 |
| Ann Marie Rameika | Nurse Practitioner | Practitioner Support Services LLP | 10 Dorrance St, Suite 700, Providence, RI 02903-2014 |
| Amy Beth Ciarniello | Physical Therapy | Fox Rehab of Ri PC | 10 Dorrance St, Suite 700, Providence, RI 02903-2014 |
| Dina Mccamish | Physical Therapy | Fox Rehab of Ri PC | 10 Dorrance St, Suite 700, Providence, RI 02903-2014 |
| Alicia Marie Marshall | Occupational Therapy | Fox Rehab of Ri PC | 10 Dorrance St, Suite 700, Providence, RI 02903-2014 |
| Find all physicians in zip 02903 | |||
| City | PROVIDENCE |
| Zip Code | 02903 |
| Specialty | OPTOMETRY |
| City + Specialty | PROVIDENCE + OPTOMETRY |
Please comment or provide details below to improve the information on Jacob R Hettinger.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.