DR. Michael Raymond Iannuccilli, OD

NPI #1972554053 in Wakefield, Rhode Island

Provider Information

NPI Number: 1972554053
Entity Type: Individual
Name: DR. Michael Raymond Iannuccilli, OD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: May 13, 2006
Last Updated: Sep 4, 2007

Practice Location

Address: 553 KINGSTOWN RD
Address 2: OPTOMETRIC PROVIDERS OF RHODE ISLAND, INC
City: Wakefield
State: Rhode Island
ZIP Code: 02879-3600
Phone: (401) 782-2100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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