Optometric Providers of Rhode Island, INC

NPI #1295929404 in Syracuse, New York

Provider Information

NPI Number: 1295929404
Entity Type: Organization
Organization Name: Optometric Providers of Rhode Island, INC
Primary Specialty: Optometrist
Enumeration Date: Aug 30, 2007
Last Updated: Aug 12, 2009

Practice Location

Address: 2921 ERIE BLVD E
Address 2: EMPIRE VISION CENTER, INC
City: Syracuse
State: New York
ZIP Code: 13224-1430
Phone: (516) 827-6727

Authorized Official

Name: DR. MICHAEL R IANNUCCILLI, OD
Title: PRESIDENT
Phone: (401) 782-2100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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