School Street Optician
NPI #1144354572 in Pawtucket, Rhode Island
Provider Information
- NPI Number
- 1144354572
- Entity Type
- Organization
- Organization Name
- School Street Optician
- Primary Specialty
- Eyewear Supplier
- Enumeration Date
- Mar 15, 2007
- Last Updated
- Jul 16, 2008
Practice Location
- Address
- 333 SCHOOL ST
- Address 2
- SUITE 304
- City
- Pawtucket
- State
- Rhode Island
- ZIP Code
- 02860-5334
- Phone
- (401) 723-4910
Authorized Official
- Name
- MR. TERRENCE ANTHONY MAXWELL
- Title
- OWNER
- Phone
- (401) 723-4910
Specialties & Taxonomy Codes
| Specialty |
|---|
| Eyewear Supplier |
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