# OPHTHALMOLOGY INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** THE RHODE ISLAND EYE INSTITUTE
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366429102
- **Authorized official:** GAIL P DUELL CPC, CEMC (ACCOUNTS MANAGER)
- **Authorized official phone:** (401) 272-2010

## Contact information

- **Practice address:** 150 E MANNING ST, PROVIDENCE, RI 02906-5109
- **Practice address phone:** (401) 272-2020
- **Practice address fax:** (401) 421-5979
- **Mailing address:** 150 E MANNING ST, PROVIDENCE, RI 02906-5109
- **Mailing address phone:** (401) 272-2020
- **Mailing address fax:** (401) 421-5979

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | ODTA00377 | RI | — |
| 207W00000X | Ophthalmology Physician | MD05032 | RI | Yes |

## Other

- **Enumeration date:** 12/22/2005
- **Last updated:** 07/31/2012

## 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 |