NPI 1083463699

Jillian Libby, OD

Practitioner Optometrist Pawtucket, RI

Practice location

Address: 2 Dexter St, Pawtucket, RI 02860-2996
Phone: (401) 723-9540
Mailing address: 111 E 4th St STE 440, Alton, IL 62002-6206

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence ODTG00759 (RI)

Other Optometrist providers in Rhode Island →

Registry record

NPI: 1083463699
Entity type: Individual
Sex (as registered): Female
NPI issued: 15 May 2024
Record last updated: 24 Jun 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.