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Contact Information

OPHTHALMOLOGY INC
150 E MANNING ST
PROVIDENCE, RI02906-5109
 Phone: 401-272-2020
 Fax: 401-421-5979
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ophthalmology

207W00000X 18 Physician/Ophthalmology
 

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for OPHTHALMOLOGY INC · (Female)

NPI Number 1366429102
Status Active
Credentials
Entity Individual
Enumeration date 12/22/2005
Last updated 07/31/2012 - About 14 years ago
Sole proprietor 1 Not specified
Identifiers
  • RI License # MD05032
  • RI License # ODTA00377
  • RI Medicaid 9001520
  • MA Other M17477 MASS BLUE SHIELD
  • MA Other 0012176 NEIGHBORHOOD MA
  • RI Other 189002658 MEDICARE PIN
  • RI Other 0859 NEIGHBORHOOD RI
  • RI Other 1760528962 NPI OTHER
  • RI Other 26587 RI BLUE SHIELD
  • RI Other 603940 TUFTS
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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