Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Jillian Libby, OD

Individual provider Optometrist · NPI 1083463699

Dr. Jillian Libby, OD is an Optometry in Pawtucket, Rhode Island. Qualified in 2024, 2 years ago. Practices with Aeg Rhode Island Professional PC, a 9-clinician group and accepts Medicare assignment. Licensed in Rhode Island.

Years since qualifying
2
Licensed in
RI
In the registry since
2024
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

2 Dexter St
Pawtucket, RI 02860-2996
Phone: (401) 723-9540
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence ODTG00759 (RI)

Record details

NPI number1083463699
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorNo
NPI enumeratedMay 15, 2024
Last updated in NPPESJune 24, 2025
Certification dateJune 24, 2025
Mailing address111 E 4th St Ste 440, Alton, IL 62002-6206

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Aeg Rhode Island Professional Pc — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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