| NPI | 1336405422 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN JOSEPH BREENE Practice Administrator 401-229-6386 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: RI ODTA00340) |
| Enumeration Date | 2012-04-03 |
| Last Update Date | 2012-04-03 |