| |
1171 Main Street, Wyoming, RI 02898-0526 | |
(401) 539-7900 | |
(401) 539-7181 |
Full Name | |
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Type | Facility |
Speciality | Optometrist |
Location | 1171 Main Street, Wyoming, Rhode Island |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1487974671 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
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860 Tiogue Ave, Coventry, RI 02816-5914 Ph: (401) 828-2020 | 1171 Main Street, Wyoming, RI 02898-0526 Ph: (401) 539-7900 |