NPI 1073959151
East Side Vision Care INC
Practice location
- Address
- 213 Thayer St, Providence, RI 02906-1210
- Phone
- (401) 421-4500
- Fax
- (401) 421-3876
Authorised official
- Name
- David Gabriel
- Title
- Ceo
- Phone
- (401) 421-4500
Registered specialties
Optometrist
Primary
Registry record
- NPI
- 1073959151
- Entity type
- Organization
- NPI issued
- 16 May 2013
- Record last updated
- 16 May 2013
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.