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Organization
OPHTHALMOLOGY INC
Active
Organization
OPHTHALMOLOGY INC
Active
Other names
THE RHODE ISLAND EYE INSTITUTE
Organization subpart
No
Provider details
NPI number
Authorized official
GAIL P DUELL CPC, CEMC (ACCOUNTS MANAGER)
(401) 272-2010
Entity
Organization
Contact information
Practice address
150 E MANNING ST, PROVIDENCE, RI 02906-5109
(401) 272-2020
(401) 421-5979
Mailing address
150 E MANNING ST, PROVIDENCE, RI 02906-5109
(401) 272-2020
(401) 421-5979
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
ODTA00377
RI
207W00000X
Ophthalmology Physician
Primary
MD05032
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0012176
NEIGHBORHOOD MA
MA
01
—
0859
NEIGHBORHOOD RI
RI
01
—
1760528962
NPI OTHER
RI
01
—
189002658
MEDICARE PIN
RI
01
—
26587
RI BLUE SHIELD
RI
01
—
603940
TUFTS
RI
05
—
9001520
—
RI
01
—
M17477
MASS BLUE SHIELD
MA
Enumeration date
12/22/2005
Last updated
07/31/2012
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