Whalio Doctors

NPI 1366429102

Ophthalmology INC

Organisation Ophthalmology Physician Providence, RI

Practice location

Address
150 E Manning St, Providence, RI 02906-5109
Phone
(401) 272-2020
Fax
(401) 421-5979

Authorised official

Name
Gail P Duell
Title
Accounts Manager
Phone
(401) 272-2010

Registered specialties (2)

Ophthalmology Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207W00000X Licence MD05032 (RI)
Optometrist
Eye and Vision Services Providers Taxonomy 152W00000X Licence ODTA00377 (RI)

Registry record

NPI
1366429102
Entity type
Organization
NPI issued
22 Dec 2005
Record last updated
31 Jul 2012

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.