National Provider Identifier Database

SOUTHERN NEW ENGLAND RETINA ASSOCIATES PC
Ophthalmology

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.


Contact Information

SOUTHERN NEW ENGLAND RETINA ASSOCIATES, PC
1 RANDALL SQ
SUITE 203
PROVIDENCE, RI02904-2709
Phone: 401-453-4600
Fax: 401-453-0077
Website:
Specialty Taxonomy Code
* Ophthalmology 207W00000X

* Indicates primary specialty

NPI Profile & details for SOUTHERN NEW ENGLAND RETINA ASSOCIATES, PC

NPI Number 1548228794
Legal business name
LBN
SOUTHERN NEW ENGLAND RETINA ASSOCIATES, PC
Authorized official MAGDALENA KRZYSTOLIK - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 05/03/2006
Last updated 07/20/2011 - About 15 years ago
Sole proprietor1 Not specified
Identifiers
  • MA Medicaid: 9762591
  • RI Medicaid: 9004676
  • MA Other: M19151 BCBS
  • RI Other: 7246790 AETNA
  • RI Other: 624129 TUFTS HEALTH CARE

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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