Organization
THE OPTICAL SHOP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CURTIS R PONDER II RO (PRESIDENT)
(401) 737-2020
Entity
Organization
Contact information
Practice address
200 TOLL GATE RD, WARWICK, RI 02886-4440
(401) 737-2020
(401) 737-2397
Mailing address
200 TOLL GATE RD, WARWICK, RI 02886-4440
(401) 737-2020
(401) 737-2397
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
OP308
RI
Other
Enumeration date
05/16/2008
Last updated
05/16/2008
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