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Organization
SOUTH COUNTY EYE PHYSICIANS AND SURGEONS INC
Active
Organization
SOUTH COUNTY EYE PHYSICIANS AND SURGEONS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS J COGHLIN MD (PRESIDENT CEO)
(401) 294-4506
Entity
Organization
Contact information
Practice address
65 BOSTON NECK ROAD, NORTH KINGSTOWN, RI 02852-5704
(401) 294-4506
(401) 295-8870
Mailing address
65 BOSTON NECK ROAD, SOUTH COUNTY EYE PHYSICIANS AND SURGEONS INC, NORTH KINGSTOWN, RI 02852-5704
(401) 294-4506
(401) 295-8870
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0459676
AETNA HMO
—
01
—
1998
NEIGHBORHOOD HEALTH
—
01
—
324
BLUE CROSS BLUE SHIELD
RI
01
—
4425631
AETNA NON HMO
—
01
—
CE6120
RAILROAD MEDICARE
—
01
—
R001038
TRICARE
—
05
—
SC00221
—
RI
Enumeration date
05/23/2006
Last updated
07/06/2010
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