NPI | 1023886710 |
---|---|
Entity Type | Organization |
Authorized Contact | CINDA L ANDERSON President 401-247-7393 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty |
Additional Taxonomies | 152W00000X Optometrist |
261Q00000X Clinic/Center | |
Enumeration Date | 2023-12-13 |
Last Update Date | 2024-05-29 |