Individual
RONALD J SERRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
17 WELLS STREET, WESTERLY, RI 02891
(401) 348-2020
(401) 596-9348
Mailing address
17 WELLS STREET, WESTERLY, RI 02891
(401) 348-2020
(401) 596-9348
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
ODGT486
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9009837
—
RI
Enumeration date
06/12/2006
Last updated
04/25/2012
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