Organization
SCHOOL STREET OPTICIAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TERRENCE ANTHONY MAXWELL (OWNER)
(401) 723-4910
Entity
Organization
Contact information
Practice address
333 SCHOOL ST, SUITE 304, PAWTUCKET, RI 02860-5334
(401) 723-4910
Mailing address
756 GREENWICH AVE, WARWICK, RI 02886-1819
(401) 737-9708
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
191
RI
Other
Enumeration date
03/15/2007
Last updated
07/16/2008
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