NPI 1144354572

School Street Optician

Organisation Eyewear Supplier Pawtucket, RI

Practice location

Address: 333 School St Suite 304, Pawtucket, RI 02860-5334
Phone: (401) 723-4910
Mailing address: 756 Greenwich Ave, Warwick, RI 02886-1819

Authorised official

Name: Terrence Anthony Maxwell
Title: Owner
Phone: (401) 723-4910

Registered specialties

Eyewear Supplier Primary

Suppliers Taxonomy 332H00000X Licence 191 (RI)

Other Eyewear Supplier providers in Rhode Island →

Registry record

NPI: 1144354572
Entity type: Organization
NPI issued: 15 Mar 2007
Record last updated: 16 Jul 2008

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.