NPI | 1720130545 |
---|---|
Entity Type | Organization |
Authorized Contact | CHRISTOPHER BUTLER Exec Director 401-941-3322 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist |
Additional Taxonomies | 152WL0500X Optometrist, Low Vision Rehabilitation |
163WD0400X Registered Nurse, Diabetes Educator | |
252Y00000X Early Intervention Provider Agency | |
Enumeration Date | 2007-01-18 |
Last Update Date | 2013-07-30 |