| NPI | 1114271053 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLENN S. PRESCOD Owner 401-725-3600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: RI 08767) |
| Additional Taxonomies | 152W00000X Optometrist |
| Enumeration Date | 2012-10-30 |
| Last Update Date | 2012-12-12 |