ELIZABETH WASSENAAR OD
NPI 1972025187
Optometrist in Providence, RI

Q: What is Elizabeth Wassenaar's NPI number?

The NPI number for Elizabeth Wassenaar is 1972025187. It was assigned to this individual provider in the NPPES registry on July 10, 2017.

Q: What is Elizabeth Wassenaar's specialty?

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

Active since July 10, 2017PECOS EnrolledAccepts Medicare Assignment

150 E MANNING ST, PROVIDENCE, RI 02906(401) 272-2020(401) 421-5979 Get Directions Write a Review

NPPES record last updated: March 12, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 12, 2026, Jan 17, 2019, Jun 27, 2018 and 1 more (4 updates tracked since 2017).

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About Elizabeth Wassenaar Od NPPES

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

ELIZABETH WASSENAAR OD (NPI 1972025187) is an individual optometrist in Providence, Rhode Island, licensed in Rhode Island (ODTG00654) and active in the NPI registry since July 2017. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1972025187

Entity TypeIndividualFemale

Primary Taxonomy152W00000X

Provider Legal NameELIZABETH WASSENAARCredential: OD

Location Address150 E MANNING STProvidence, RI 02906

Mailing Address246 Power St Apt 1Providence, RI 02906-3953 · (312) 301-7446

Phone(401) 272-2020

Fax(401) 421-5979

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateJuly 10, 2017

Last NPPES UpdateMarch 12, 20264 updates tracked since enumeration

NPPES CertifiedMarch 12, 2026

✔ NPI 1972025187 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 · ODTG00654

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 ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

150 E MANNING ST, Providence, RI 02906

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Secondary Practice Locations 3

Location 1245 Waterman St Ste 309Providence, RI 02906-5215 · Phone (401) 227-2188 · Fax (401) 227-2183

Location 2385 Mendon RdWoonsocket, RI 02895-2477 · Phone (401) 762-4473

Location 31601 Brenner AveSalisbury, NC 28144-2515 · Phone (704) 638-3825

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Elizabeth Wassenaar Od is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6608123773

PECOS Enrollment IDI20180719003468

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.

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.

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.

59 services59 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

54 services33 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.

52 services47 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.

47 services38 patients

Exam of visual field with extended testing 92083

An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.

33 services32 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).

31 services31 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02906 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.

Other Providers at the Same Location NPPES 17

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

REFOCUS EYE HEALTH OF RI, LLC

Ophthalmology