| NPI | 1366429102 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GAIL P DUELL Accounts Manager 401-272-2010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: RI MD05032) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: RI ODTA00377) |
| Enumeration Date | 2005-12-22 |
| Last Update Date | 2012-07-31 |