NPI 1275501421

David Klibanoff

Practitioner Optometrist Pawtucket, RI

Practice location

Address: 121 Broad St, Pawtucket, RI 02860-2053
Phone: (401) 723-3400
Fax: (401) 727-2326

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence ODTG476 (RI)

Other Optometrist providers in Rhode Island →

Registry record

NPI: 1275501421
Entity type: Individual
Sex (as registered): Male
NPI issued: 12 Mar 2006
Record last updated: 20 May 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.