Individual
ANGELA MARIE MACKSOUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
375 METACOM AVE, BRISTOL, RI 02809-5179
(401) 253-2020
(401) 253-3220
Mailing address
1817 OLD LOUISQUISSET PIKE, LINCOLN, RI 02865-4516
(401) 580-3572
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
ODTA00576
RI
Other
Enumeration date
08/22/2024
Last updated
08/04/2025
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