Optometric Providers of Rhode Island, INC

NPI #1598959710 in N Providence, Rhode Island

Provider Information

NPI Number: 1598959710
Entity Type: Organization
Organization Name: Optometric Providers of Rhode Island, INC
Primary Specialty: Optometrist
Enumeration Date: Aug 30, 2007
Last Updated: Aug 30, 2007

Practice Location

Address: 1875 MINERAL SPRING AVE
City: N Providence
State: Rhode Island
ZIP Code: 02904-3719
Phone: (401) 353-3200

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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