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DR. LAWRENCE T GINSBERG O.D.
NPI 1639111271
Optometrist in East Providence, RI

Active since June 11, 2006PECOS Enrolled
2224 PAWTUCKET AVE, EAST PROVIDENCE, RI 02914(401) 431-2929(401) 431-2031 Get Directions Write a Review

NPPES record last updated: March 31, 2008. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Lawrence T Ginsberg O.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. LAWRENCE T GINSBERG O.D. (NPI 1639111271) is an individual optometrist in East Providence, Rhode Island, licensed in Rhode Island (OD00499) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639111271
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. LAWRENCE T GINSBERGCredential: O.D.
Location Address2224 PAWTUCKET AVEEast Providence, RI 02914-1716
Mailing Address2224 Pawtucket AveEast Providence, RI 02914-1716 · (401) 431-2929 · Fax (401) 431-2031
Phone(401) 431-2929
Fax(401) 431-2031
Sole ProprietorYes
Enumeration DateJune 11, 2006
Last NPPES UpdateMarch 31, 2008
✔ NPI 1639111271 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in RI · OD00499
Definition
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.
Also ListedEyewear SupplierTaxonomy 332H00000X · License OD00499 (RI)
2224 PAWTUCKET AVE, East Providence, RI 02914
Open in Google Maps ↗

Other Identifiers 7

Other003200RI · Blue Chip
Medicare UPINT53317RI
Medicaid9007908RI
Other522108187-05RI · Tricare
Other7908-8RI · Blue Cross
Medicare NSC0776080001RI
Other22-00206RI · United Health

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Lawrence T Ginsberg O.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Lawrence Ginsberg reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Dr Lyn-Marie Behmke Od
1.1 mi
Optometrist
2757 PAWTUCKET AVE
East Providence, RI 02914
  • Reassigned Medicare billing, Rhode Island enrollment
  • 4 clinicians in this Medicare group
NPI 1295893790 (401) 434-5532

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
1,271 services12 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
109 services109 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
84 services77 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
67 services58 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
40 services29 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
38 services38 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02914 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$134.17 typical visit price
range $58.57 – $177.03
Typical copayment $33.54 (range $14.64 – $44.25)
Most-billed visit code 99204
Established Patient
$72.93 typical visit price
range $18.92 – $144.38
Typical copayment $18.23 (range $4.73 – $36.09)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
100%27 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. LESLIE ANN OLTON DMD
Dentist (General Practice)
2224 PAWTUCKET AVE, UNIT 2
EAST PROVIDENCE, RI 02914
Providence County (401) 431-1224
DR LAWRENCE T GINSBERG
Durable Medical Equipment & Medical Supplies
2224 PAWTUCKET AVE
EAST PROVIDENCE, RI 02914
Providence County (401) 431-2929
DR. STEPHEN NICHOLAS BAKIOS D.D.S.
Dentist (Oral and Maxillofacial Surgery)
2224 PAWTUCKET AVE
EAST PROVIDENCE, RI 02914
Providence County (401) 435-4240
WE CARE FOR KIDS DENTAL, INC
Dentist (General Practice)
2224 PAWTUCKET AVE, UNIT 2
EAST PROVIDENCE, RI 02914
Providence County (401) 431-1224

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lawrence Ginsberg's NPI number?

The NPI number for Lawrence Ginsberg is 1639111271. It was assigned to this individual provider in the NPPES registry on June 11, 2006.

Where is Lawrence Ginsberg located?

Lawrence Ginsberg practices at 2224 Pawtucket Ave, East Providence, RI 02914. The listed phone number is (401) 431-2929.

What is Lawrence Ginsberg's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Lawrence Ginsberg enrolled in Medicare?

Yes. Lawrence Ginsberg is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Lawrence Ginsberg's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lawrence Ginsberg reassigns Medicare benefits to Dr Lyn-Marie Behmke Od (East Providence, RI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lawrence Ginsberg's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Lawrence Ginsberg was last updated on March 31, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.