Organization
RAPHAEL CORP
Active
Other names
Precision Eye Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BASANT T SIDHOM OD (CEO/OPTOMETRIST)
(401) 472-9424
Entity
Organization
Contact information
Practice address
1565 POST RD UNIT 5, WARWICK, RI 02888-5949
(603) 418-4956
Mailing address
1565 POST RD UNIT 5, WARWICK, RI 02888-5949
(401) 472-9424
(401) 472-9423
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
01/16/2020
Last updated
10/09/2020
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