NPI 1053611996

Benjamin D Klibanoff, OD

Practitioner Optometrist Pawtucket, RI

Practice location

Address: 55 Broad St, Pawtucket, RI 02860-2023
Phone: (401) 723-3400

Registered specialties (2)

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence CODTG00551 (RI)

Other Optometrist providers in Rhode Island →

Optometrist

Eye and Vision Services Providers Taxonomy 152W00000X Licence 4822 (MA)

Registry record

NPI: 1053611996
Entity type: Individual
Sex (as registered): Male
NPI issued: 26 Oct 2010
Record last updated: 12 Apr 2016

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.