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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1972025187

Elizabeth Wassenaar, OD is an Optometry in Providence, Rhode Island. Qualified in 2017, 9 years ago. Practices with Prytula Eye Associates Inc, a 3-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Rhode Island.

Years since qualifying
9
Licensed in
RI
In the registry since
2017
Specialties on file
2
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

150 E Manning St
Providence, RI 02906
Phone: (401) 272-2020
Fax: (401) 421-5979
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 1601 Brenner Ave, Salisbury, NC 28144-2515 — (704) 638-3825
  • 245 Waterman St Ste 309, Providence, RI 02906-5215 — (401) 227-2188
  • 385 Mendon Rd, Woonsocket, RI 02895-2477 — (401) 762-4473

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence ODTG00654 (RI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1972025187
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorNo
NPI enumeratedJuly 10, 2017
Last updated in NPPESMarch 12, 2026
Certification dateMarch 12, 2026

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Prytula Eye Associates Inc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Providence