DR. JACQUELINE A. BOISVERT (OD) – Optometrist, NPI 1396815692

DR. JACQUELINE A. BOISVERT (OD) is a healthcare provider. based in East greenwich, Rhode Island. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. ODTG00519 (RI). The NPI Number for DR. JACQUELINE A. BOISVERT (OD) is 1396815692

Main info

Female
Sole Proprietor
34 Years Of Experience
Accepts Medicare Assignment
Name
DR. JACQUELINE A. BOISVERT (OD)
NPI
1396815692
Phone
(401) 886-4349
Address
195 CHESTNUT DR
Enumeration Date
8 November 2006
Last Update Date
15 September 2014

Doctor Profile

Medical School Name
NEW ENGLAND COLLEGE OF OPTOMETRY
Secondary Phone
4012620042
Graduation Year
1992 (34 years ago)
PAC ID
9234265885
Group Practice PAC ID
1951625375
Professional Enrollment ID
I20100407000462
Address ID
RI028521758NO74XXXRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

225 OPTOMETRY in RI

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Provider Addresses for DR. JACQUELINE A. BOISVERT (OD)

  • 195, Chestnut Drive, River Farm, East Greenwich, Kent County, Rhode Island, 02818, United States

    EAST GREENWICH, RI 028182121

    Phone: (401) 886-4349

    Type: Mailing

  • 74, Frenchtown Road, Hunt River Commons, North Kingstown, South County, Rhode Island, 02852, United States

    NORTH KINGSTOWN, RI 028521758

    Phone: (401) 862-3072

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 29 Open Payments records for all available years, with a total value of $1,375.

Total Amount is formed as General ($1,375) + Research ($0) + Ownership ($0) = $1,375.

Last reported payment date: 2024-11-05 • Largest payer in this snapshot: Alcon Vision LLC ($466).

Total Amount

$1,375

General + Research + Ownership

Payments

29

Total payment records

General Amount

$1,375

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-05

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-04-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100407000462IOptometryRITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes213136$0
92134Imaging of retina125117$0
92133Imaging of optic nerve124107$0
92014Established patient complete exam of visual system107101$0
92083Exam of visual field with extended testing10391$0
View full utilization report →

Insurance plans in this area (ZIP 02818)

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Provider's Procedures

DR. JACQUELINE A. BOISVERT (OD) performs procedures in OPTOMETRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPTOMETRYRI92083Measurement of field of vision during daylight conditions1312

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1951625375View full group profile
NameSpecialtyState
O P T O M E T R YRI

Reviews

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Frequently asked questions

What NPI should I save for DR. JACQUELINE A. BOISVERT (OD)?
Save NPI 1396815692 if you need a stable reference for DR. JACQUELINE A. BOISVERT (OD).
Does this profile mean DR. JACQUELINE A. BOISVERT (OD) is currently active?
Yes — DR. JACQUELINE A. BOISVERT (OD) appears active in the national provider directory.
What kind of provider is DR. JACQUELINE A. BOISVERT (OD)?
The page reflects Optometrist for DR. JACQUELINE A. BOISVERT (OD). Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. JACQUELINE A. BOISVERT (OD)?
The page summarizes East Greenwich, Rhode Island for DR. JACQUELINE A. BOISVERT (OD); expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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